[Non-invasive ventilation: indication for acute respiratory failure].
Mask or Non-invasive ventilation (NIV) is used for critically ill patients with acute respiratory failure (ARF): acute exacerbation of chronic obstructive bronchopulmonary disease and severe cardiogenic pulmonary edema are considered as the best indications for NIV since it improves the outcome of these patients. This technique is also proposed for hypoxemic respiratory failure, with more various results. To be effective here, NIV must be established early enough and should not delay intubation if required. NIV is also proposed after invasive ventilation or in patients in whom endotracheal intubation is not desirable. Its use has increased and its effectiveness seems to have improved, due to a better understanding of the technique but also thanks to technological progress.
Service des soins intensifs, Département d'anesthésiologie, pharmacologie et soins intensifs, HUG, 1211 Genève 14. marie-eve.brunner@hcuge.ch
Marie-Eve
ME
Brunner
Aissam
A
Lyazidi
Jean-Christophe Marie
JC
Richard
Laurent
L
Brochard
D000208:Acute Disease; D006801:Humans; D008954:Models, Biological; D063087:Noninvasive Ventilation / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data*; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy; D011654:Pulmonary Edema / Q000150:complications / Q000628:therapy; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D012131:Respiratory Insufficiency / Q000145:classification / Q000209:etiology / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000150:complications / Q000628:therapy