Noninvasive mechanical ventilation has been used increasinglyover the past decade in an effort to avoid endotracheal intubationand to accelerate the discontinuation of mechanical ventilation.Noninvasive ventilation as adjunctive therapy can be appliedbefore intubation or after extubation (Figure 1). The literatureindicates that in both settings, outcomes in patients with chronicobstructive pulmonary disease (COPD) or cardiogenic pulmonaryedema are successful.1 Randomized, controlled trials also provideoutcome data supporting the use of noninvasive ventilation toobviate the need for endotracheal intubation in immunosuppressedpatients who have bilateral infiltrates and patients who arerecovering from lung resection.1
View larger version (19K): [in this window]
[in a new window]
From the Division of Pulmonary and Critical Care Medicine, University of Virginia, Charlottesville (J.D.T.); and the Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University, Nashville (G.R.B.).
This article has been cited by other articles:
Girard, T. D., Bernard, G. R.
(2007). Mechanical Ventilation in ARDS: A State-of-the-Art Review. Chest
131: 921-929
[Abstract][Full Text]
Lermitte, J., Garfield, M. J
(2005). Weaning from mechanical ventilation. Contin Educ Anaesth Crit Care Pain
5: 113-117
[Abstract][Full Text]
Eltzschig, H. K., Eckle, T., Felbinger, T. W., Lavietes, M. H., Kumar, S., Sinha, B., Joy, M., Sutherland, E. R., Cherniack, R. M.
(2004). Management of Chronic Obstructive Pulmonary Disease. NEJM
351: 1461-1463
[Full Text]
Tarnow-Mordi, W. O., Gebski, V., Cust, A., Diaz-Lobato, S., Mayoralas-Alises, S., Villamor, J., Lipson, D. A., Sager, J. S., Esteban, A., Frutos-Vivar, F., Anzueto, A.
(2004). Noninvasive Ventilation. NEJM
351: 1257-1259
[Full Text]
(2004). Can Noninvasive Ventilation Prevent Reintubation?. JWatch General
2004: 4-4
[Full Text]