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Minerva Respiratory Medicine 2022 December;61(4):181-8
DOI: 10.23736/S2784-8477.22.02017-4
Copyright © 2022 EDIZIONI MINERVA MEDICA
language: English
Predictive factors of noninvasive ventilation failure
Teresa DÍAZ DE TERÁN 1, Mónica GONZÁLEZ 1, Paolo BANFI 2, Antonello NICOLINI 2 ✉, Marina SAAD 3, Gianluca FERRAIOLI 4, Paolo SOLIDORO 5
1 Unit of Sleep Disorders and Noninvasive Ventilation, Hospital Universitario Marqués de Valdecilla, Santander, Spain; 2 IRCCS Don Gnocchi Foundation, Milan, Italy; 3 Division of Respiratory Diseases, Department of Biomedical and Clinical Sciences (DIBIC), L. Sacco Hospital, ASST Fatebenefratelli-Sacco, University of Milan, Milan, Italy; 4 Unit of Respiratory Diseases, General Hospital, Sestri Levante, Genoa, Italy; 5 Unit of Pulmonology, Department of Medical Sciences, Molinette Hospital, Città della Salute e della Scienza, Turin, Italy
Noninvasive ventilation (NIV) can decrease the length of stay in the ICU, reduce the number of complications (such as infections), increase the quality of life, and improve the survival, compared to conventional invasive ventilation. The effectiveness of NIV depends on both the time of onset of NIV and the etiology of respiratory failure, so not all diseases will benefit from NIV in the same way. The prediction of NIV failure is very important to prevent a delayed intubation and an increased risk of morbidity and mortality. We aimed to describe the predictors of NIV failure depending on the cause of acute respiratory failure (ARF) doing a brief literature review.
KEY WORDS: Respiratory insufficiency; Noninvasive ventilation; Signs and symptoms, respiratory