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Non-invasive ventilation in acute respiratory failure

来自 Springer

阅读量：

130

作者：

NS Hill，J Brennan，E Garpestad，S Nava

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摘要：

Non-invasive mechanical ventilation has been increasingly used to avoid or serve as an alternative to intubation. Compared with medical therapy, and in some instances with invasive mechanical ventilation, it improves survival and reduces complications in selected patients with acute respiratory failure. The main indications are exacerbation of chronic obstructive pulmonary disease, cardiogenic pulmonary oedema, pulmonary infiltrates in immunocompromised patients, and weaning of previously intubated stable patients with chronic obstructive pulmonary disease. Furthermore, this technique can be used in postoperative patients or those with neurological diseases, to palliate symptoms in terminally ill patients, or to help with bronchoscopy; however further studies are needed in these situations before it can be regarded as first-line treatment. Non-invasive ventilation implemented as an alternative to intubation should be provided in an intensive care or high-dependency unit. When used to prevent intubation in otherwise stable patients it can be safely administered in an adequately staffed and monitored ward.

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关键词：

noninvasive ventilation acute respiratory failure hypercapnia

DOI：

10.1136/thorax.57.3.192

被引量：

862

年份：

2002

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来源期刊

Critical Care Medicine
2002-03-01

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2014
被引量：109

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