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Minerva Anestesiologica 2009 July-August;75(7-8):459-66

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Non-invasive ventilation outside the Intensive Care Unit for acute respiratory failure

Chiumello D. 1, Conti G. 2, Foti G. 3, Giacomini M. 4, Braschi A. 5, Iapichino G. 6

1 Operative Unit of Anesthesia and Resuscitation, Department of Anesthesia, Intensive and Subintensive Resuscitation and Pain Therapy, IRCCS Foundation, Polyclinic Mangiagalli Regina Elena, Milan, Italy; 2 Institute of Anesthesiology and Resuscitation, Sacro Cuore Catholic University, Rome, Ital; 3 Department of Perioperative Medicine, San Gerardo Nuovo dei Tintori Hospital, Monza, Milan, Italy; 4 Department of Neurosciences, Niguarda Hospital, Cà Granda, Milan, Italy; 5 Department of Resuscitation and Organ Transplantation Surgery Sciences, Section of Anesthesiology and Resuscitation, University of Pavia, Structure of Anesthesia and Resuscitation, IRCCS Foundation, San Matteo Polyclinic, Pavia, Italy; 6 Institute of Anesthesiology and Resuscitation, Operative Unit of Anesthesia and Resuscitation, San Paolo University Hospital, Milan, Italy


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Non invasive ventilation (NIV) has been shown to be an effective therapy in selected patients with acute respiratory failure. Due to its benefit and relative ease of use, NIV is frequently used. In addition, the shortage and high cost of intensive care beds have prompted the use of NIV outside the intensive care unit. Choosing the right time and type of patient with acute respiratory failure to improve the chances of success with NIV requires an appropriate environment and monitoring. This review presents and discusses the currently available data regarding NIV success outside the intensive care unit, the optimal ventilatory strategy, possible solutions to the mechanical problems and the minimum monitoring required.

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