Published in:
01-02-2017 | Editorial
Non-invasive ventilation in hypoxemic acute respiratory failure: is it still possible?
Authors:
Christophe Girault, Miquel Ferrer, Antoni Torres
Published in:
Intensive Care Medicine
|
Issue 2/2017
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Excerpt
In the past 20 years, the use of non-invasive ventilation (NIV) has dramatically increased for the management of acute respiratory failure (ARF) in critically ill patients [
1,
2]. Non-invasive ventilation has been demonstrated to be beneficial for the outcome of patients with acute exacerbation of chronic obstructive pulmonary disease, acute cardiogenic pulmonary oedema, and more recently in the weaning/post-extubation management oe ARF. Non-invasive ventilation can also prevent intubation in selected patients with severe hypoxemic or de novo ARF [
3], particularly in the postoperative period [
4]. However, its clinical benefit remains controversial for the management of hypoxemic patients [
5]. Therefore, NIV is not routinely recommended in this last indication [
6], and has also been recently questioned in immunocompromised ARF patients [
7]. …