Non-invasive ventilation in the ED: Whom, When, How?
ErkanGöksu1, DenizKılıç2, Süleymanİbze1
1Department of Emergency Medicine, Akdeniz University School of Medicine, Antalya, Turkey
2Department of Emergency Medicine, Kepez State Hospital, Antalya, Turkey
As emergency physicians, we encounter patients suffering from either hypoxemic and/or hypercarbic respiratory problems on a daily basis. A stepwise approach to solving this problem seems logical from an emergency medicine perspective.
Current literature supports the notion that NIV decreases endotracheal intubation rates and, mortality in select patient populations. The key to the success of NIV is patient cooperation and support for the care givers.
In this narrative review, non-invasive ventilation (NIV) is discussed in terms of modes of delivery, interface and patient selection, as well as practical considerations.