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Year : 2017  |  Volume : 1  |  Issue : 1  |  Page : 47-48

Noninvasive ventilation: Is a prehospital initiation an option?

Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dhahran, Dammam 31448, Kingdom of Saudi Arabia

Correspondence Address:
Mohammed D AlAhmari
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dhahran, P.O. Box 33048, Dammam 31448
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sccj.sccj_4_17

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Non-invasive ventilation (NIV) refers to the use of ventilator support by delivering a pressurized gas via external facial interfaces. NIV is commonly used by clinicians to avoid intubation and the risks associated with invasive positive mechanical ventilation. NIV has recently become an integral tool in the management of acute conditions and chronic respiratory failure. This therapeutic modality is well recognized in selected patients with acute respiratory failure (ARF) related to exacerbation of chronic obstructive pulmonary disease, acute cardiogenic pulmonary edem and immunocompromised states. Several studies have shown that NIV play a crucial role in reducing the need for endotracheal intubation, length of hospitalization, morbidity and mortality. It is also used as a prophylactic interventional tool in post-extubation patients to prevent re-intubation cases. A patient at high risk of re-intubation may benefit from NIV application; however, close monitoring is essential to detect any indicative signs of extubation failure.

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