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Previous Volume 337:1746-1752 December 11, 1997 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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When ventilatory support is delivered without establishing an endotracheal airway, it is termed noninvasive ventilation. Traditionally, noninvasive ventilation has been given with the use of devices that apply intermittent negative extrathoracic pressure. The advent of positive-pressure ventilation that is delivered through a nasal or face mask has greatly expanded the use of noninvasive ventilation. Such ventilation has a role in the management of acute and chronic respiratory failure in many patients and may have a role for some patients with heart failure. Noninvasive approaches can preserve normal swallowing, feeding, and speech. Cough and physiologic air warming and humidification are also . . . [Full Text of this Article]

Negative-Pressure Ventilation

Noninvasive Positive-Pressure Ventilation

Volume Ventilation

Pressure Ventilation

Limitations of Noninvasive Positive-Pressure Ventilation

Applications of Noninvasive Positive-Pressure Ventilation

Chronic Respiratory Failure

Acute Respiratory Failure

Congestive Heart Failure

Mechanisms of Improvement with Intermittent Noninvasive Ventilation

Conclusions

Source Information

From the Department of Respiratory Services, Spaulding Rehabilitation Hospital, and Harvard Medical School (R.E.H.); and the Pulmonary and Critical Care Unit, Department of Medicine, Massachusetts General Hospital, and Harvard Medical School (D.C.J.) — all in Boston.

References

Related Letters:

Noninvasive Ventilation
Niranjan V., Bach J., Agustí A. G.N., Barbé F., Togores B., Hillberg R. E., Johnson D. C.
Extract | Full Text  
N Engl J Med 1998; 338:1388-1389, May 7, 1998. Correspondence

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