Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2005 June;71(6) > Minerva Anestesiologica 2005 June;71(6):243-7

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036


eTOC

 

  SMART 2005 - Milan, May 11-13, 2005


Minerva Anestesiologica 2005 June;71(6):243-7

language: English

Non-invasive ventilation as a weaning tool

Ferrer M.

Respiratory Intensive and Intermediate Care Unit Department of Pneumology Hospital Clínic, Barcelona, Spain


FULL TEXT  


Patients with chronic airflow obstruction and difficult weaning from mechanical ventilation are at increased risk for intubation-associated complications and mortality because of prolonged invasive mechanical ventilation. Non-invasive positive-pressure ventilation (NPPV) may revert most of the pathophysiologic mechanisms associated with weaning failure in these patients. Several randomised controlled trials have shown that the use of NPPV in order to advance extubation in difficult to wean patients can result in reduced periods of endotracheal intubation, complication rates and survival. The published data with outcome as a primary variable is nearly exclusively from patients who had pre-existing lung disease. In addition the patients were haemodynamically stable, with a normal level of consciousness, no fever and a preserved cough reflex. It remains to be seen whether NPPV has a role in other patients’ groups and situations. The technique is however a usual addition to the therapeutic armamentarium for a group of patients who pose a significant clinical and economic challenge.

top of page

Publication History

Cite this article as

Corresponding author e-mail