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

32706107

DOI

10.5603/ARM.2020.0110

For the public and Northwell Health campuses

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