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Published in: Critical Care 1/2016

Open Access 01-12-2016 | Letter

Using noninvasive ventilation to prevent extubation failure: it is good news, but do we really know what “high risk” means?

Authors: Alastair J. Glossop, Antonio M. Esquinas

Published in: Critical Care | Issue 1/2016

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Excerpt

We read with great interest the article by Thille et al. [1] and commend the authors on their work. It is accepted that noninvasive ventilation (NIV) used prophylactically reduces post-extubation respiratory failure, but its impact on reintubation remains contentious [2]. Therefore, the current study, which reports reduced rates of reintubation from 28 % to 15 % in high-risk populations with NIV use, is welcomed. …
Literature
1.
go back to reference Thille AW et al. Easily identified at-risk patients for extubation failure may benefit from noninvasive ventilation: a prospective before-after study. Crit Care. 2016;20(1):48.CrossRefPubMedPubMedCentral Thille AW et al. Easily identified at-risk patients for extubation failure may benefit from noninvasive ventilation: a prospective before-after study. Crit Care. 2016;20(1):48.CrossRefPubMedPubMedCentral
2.
go back to reference Ferrer M et al. Non-invasive ventilation after extubation in hypercapnic patients with chronic respiratory disorders: randomised controlled trial. Lancet. 2009;374(9695):1082–8.CrossRefPubMed Ferrer M et al. Non-invasive ventilation after extubation in hypercapnic patients with chronic respiratory disorders: randomised controlled trial. Lancet. 2009;374(9695):1082–8.CrossRefPubMed
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go back to reference Ferrer M et al. Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial. Am J Respir Crit Care Med. 2003;168(12):1438–44.CrossRefPubMed Ferrer M et al. Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial. Am J Respir Crit Care Med. 2003;168(12):1438–44.CrossRefPubMed
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go back to reference Glossop AJ et al. Non-invasive ventilation for weaning, avoiding reintubation after extubation and in the postoperative period: a meta-analysis. Br J Anaesth. 2012;109(3):305–14.CrossRefPubMed Glossop AJ et al. Non-invasive ventilation for weaning, avoiding reintubation after extubation and in the postoperative period: a meta-analysis. Br J Anaesth. 2012;109(3):305–14.CrossRefPubMed
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go back to reference Maggiore SM et al. Nasal high-flow versus Venturi mask oxygen therapy after extubation. Effects on oxygenation, comfort, and clinical outcome. Am J Respir Crit Care Med. 2014;190(3):282–8.CrossRefPubMed Maggiore SM et al. Nasal high-flow versus Venturi mask oxygen therapy after extubation. Effects on oxygenation, comfort, and clinical outcome. Am J Respir Crit Care Med. 2014;190(3):282–8.CrossRefPubMed
Metadata
Title
Using noninvasive ventilation to prevent extubation failure: it is good news, but do we really know what “high risk” means?
Authors
Alastair J. Glossop
Antonio M. Esquinas
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2016
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-016-1336-z

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