How do the utilization rates for noninvasive ventilation (NIV) vary among developed countries?

Updated: Jun 18, 2020
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Answer

For use of noninvasive ventilation, note the following:

  • Utilization highly variable among hospitals, regions, and countries

  • Used extensively in Europe, with use increasing over time - Noninvasive ventilation (NIV) use exceeds 80% of patients in some European ICUs [76]

  • Used less in Canada and United States (20-50%; some areas 0%) [76]  - Attributed to (1) unfamiliarity of physicians and other staff and (2) lack of proper equipment; inaccurate perception of increased time commitment; respiratory therapy and nursing time not increased

  • Practice guidelines increase usage of noninvasive ventilation

  • Coding and reimbursement issues additional impediments to implementation


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