Chapter

Non-invasive ventilation

Stephen Chapman, Grace Robinson, John Stradling, Sophie West and John Wrightson

in Oxford Handbook of Respiratory Medicine

Third edition

Published on behalf of Oxford University Press

Published in print August 2014 | ISBN: 9780198703860
Published online August 2014 | e-ISBN: 9780191773112 | DOI: https://dx.doi.org/10.1093/med/9780198703860.003.0057

Series: Oxford Medical Handbooks

Non-invasive ventilation

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The use of non-invasive ventilation (NIV), via a close-fitting face mask (less commonly, just a nasal mask), has greatly increased in recent years, as its role in the management of both acute and chronic ventilatory failure has been appreciated. Terminology can be confusing, and this chapter clarifies many aspects of NIV use, particularly the indications, contraindications, practical aspects, and pitfalls. There have been new developments in the design and sophistication of non-invasive ventilators that may represent important advances and become standard. Acute exacerbations of COPD, cardiogenic pulmonary oedema, decompensated obstructive sleep apnoea, neuromuscular weakness, immunocompromised patients, and community-acquired pneumonia are all areas discussed in this chapter. Detailed guidance on the actual process of starting NIV is also given, including the problem of added oxygen.

Chapter.  3092 words. 

Subjects: Respiratory Medicine and Pulmonology

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