Non-invasive ventilation in patients with an altered level of consciousness. A clinical review and practical insights
Publication Date
2020
Journal Title
Adv Respir Med
Abstract
© 2020 PTChP. Non-invasive ventilation has gained an increasingly pivotal role in the treatment of acute hypoxemic and/or hypercapnic respiratory failure and offers multiple advantages over invasive mechanical ventilation. Some of these advantages include the preserva-tion of airway defense mechanisms, a reduced need for sedation, and an avoidance of complications related to endotracheal intubation. Despite its advantages, non-invasive ventilation has some contraindications that include, among them, severe encephalopathy. In this review article, the rationale, evidence, and drawbacks of the use of noninvasive ventilation in the context of hypercapnic and non-hypercapnic patients with an altered level of consciousness are analyzed.
Volume Number
88
Issue Number
3
Pages
233 - 244
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
Pulmonary, Critical Care, and Sleep Medicine
PMID
DOI
10.5603/ARM.2020.0110