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Correspondence
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Volume 340:150-151 January 14, 1999 Number 2
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Noninvasive Positive-Pressure Ventilation

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 by Antonelli, M.
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To the Editor: Antonelli et al. (Aug. 13 issue)1 concluded that noninvasive positive-pressure ventilation was as effective as conventional mechanical ventilation in patients with acute respiratory failure and was associated with fewer serious complications and shorter stays in the intensive care unit.

With regard to the duration of ventilation, the timing of the initiation and the mode of weaning differed in the two groups. Patients assigned to receive noninvasive positive-pressure ventilation were "evaluated daily . . . without ventilatory support for 15 minutes," and ventilatory support was discontinued if they met certain criteria. This trial of spontaneous breathing is equivalent . . . [Full Text of this Article]

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