Noninvasive mechanical ventilation

Abstract

Noninvasive mechanical ventilation (NIMV) has been widely

applied to the patient with respiratory failure since 1990’s around

the world. The respiratory function of the patient with respiratory

failure should be supported by using positive pressure ventilation

until primary problem of the patient is treated. Positive pressure

should be given noninvasively or invasively. If the patient is

conscious (except unconsiousness due to CO2 retention) and has

intact bulber function(sufficient cough reflex and swallowing

function) and has stable clinical picture, we have to use NIMV

instead of invasive mechanical ventilation (IMV). NIMV can be

applied to the patient outside of the intensive care unit. The side

effects of mechanical ventilation are significantly decreased during

NIMV than that of IMV.

Keywords

• Noninvasive ventilation,Respiratory insufficiency

References

1. Mehta S, Hill N. Non invasive ventilation. Am J Respir Crit Care Med 2001;163:540-77.
2. Ferrer M, Esquinas A, Leon M, et al. Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial. Am J Respir Crit Care Med 2003;168:1438-44.