Noninvasive positive pressure ventilation in acute respiratory failure in adults-uptodate 呼吸机治疗.docxVIP

Noninvasive positive pressure ventilation in acute respiratory failure in adults-uptodate 呼吸机治疗.docx

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Noninvasive positive pressure ventilation in acute respiratory failure in adults-uptodate 呼吸机治疗

Noninvasive positive pressure ventilation in acute respiratory failure in adultsAuthorsKristy A Bauman, MDRobert C Hyzy, MDSection EditorPolly E Parsons, MDDeputy EditorGeraldine Finlay, MDAll topics are updated as new evidence becomes available and our peer review process is complete.Literature review current through:?Jan 2014.?#124?This topic last updated:?Jun 26, 2013.INTRODUCTION?—?Noninvasive positive pressure ventilation (NPPV) refers to positive pressure ventilation delivered through a noninvasive interface (nasal mask, facemask, or nasal plugs), rather than an invasive interface (endotracheal tube, tracheostomy). Its use has become more common as its benefits are increasingly recognized [/contents/noninvasive-positive-pressure-ventilation-in-acute-respiratory-failure-in-adults/abstract/1,21,2]. (See Overview of mechanical ventilation, section on Types of breaths.)The use of NPPV for acute respiratory failure is discussed here, including its indications, contraindications, benefits, and potential harms. Initiation and weaning of NPPV are also reviewed. NPPV for neuromuscular disorders, chest wall disease, or obesity hypoventilation syndrome is described separately. (See Noninvasive positive pressure therapy of the obesity hypoventilation syndrome and Types of noninvasive nocturnal ventilatory support in neuromuscular and chest wall disease and Continuous noninvasive ventilatory support for patients with neuromuscular or chest wall disease.)PATIENT SELECTION?—?Selecting patients for NPPV requires careful consideration of its indications and contraindications, which are discussed in this section.Indications?—?A trial of NPPV is worthwhile in most patients who do not require emergent intubation and have a disease known to respond to NPPV, assuming that they lack contraindications [/contents/noninvasive-positive-pressure-ventilation-in-acute-respiratory-failure-in-adults/abstract/33]. This is especially true for patients who have features that predict success usi

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