Non-invasive ventilation in the ED: Whom, When, How?

ErkanGöksu; DenizKılıç; Süleymanİbze

doi:10.1016/j.tjem.2018.01.002

ErkanGöksu¹, DenizKılıç², Süleymanİbze¹

¹Department of Emergency Medicine, Akdeniz University School of Medicine, Antalya, Turkey
²Department of Emergency Medicine, Kepez State Hospital, Antalya, Turkey

Abstract

As emergency physicians, we encounter patients suffering from either hypoxemic and/or hypercarbic respiratory problems on a daily basis. A stepwise approach to solving this problem seems logical from an emergency medicine perspective.

Current literature supports the notion that NIV decreases endotracheal intubation rates and, mortality in select patient populations. The key to the success of NIV is patient cooperation and support for the care givers.

In this narrative review, non-invasive ventilation (NIV) is discussed in terms of modes of delivery, interface and patient selection, as well as practical considerations.