Noninvasive mechanical ventilation in high-risk pulmonary infections
Citation: Esquinas AM, Egbert Pravinkumar S, Scala R, et al, International NIV Network. Noninvasive mechanical ventilation in high-risk pulmonary infections: a clinical review. European Respiratory Review 2014; 23(134): 427-38
What is this? Some patients with COVID-19 will become seriously ill and develop breathing problems. Noninvasive ventilation (NIV) might be used to help with this.
In this systematic review, the authors searched for research (including comparative effectiveness studies and observational studies) investigating the role of NIV in adult patients with acute pulmonary infectious diseases and to assess the risk of disease transmission from patients to healthcare workers when NIV is used. They did their search in 2012 and included 34 studies in the review.
What works: Non-invasive ventilation use in the management of acute respiratory failure in pulmonary infections, especially in pandemics, can avert or reverse respiratory failure and decrease the need for endotracheal intubation in selected groups of contagious patients.
Reasonable and adequate precautionary steps should be followed to protect healthcare workers, other patients and family members from an infectious spread when NIV is used.
What doesn’t work: The use of NIV as first-line therapy is not recommended in severe respiratory failure with acute respiratory distress syndrome or in pneumonia.
What’s uncertain: Nothing noted.
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