, Volume 9, Issue 1, pp 1-5
Date: 23 Feb 2011

The evolution of practice of noninvasive ventilation: epidemiologic outcomes and patient’s preference

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Introduction

One of the most important developments in the field of mechanical ventilation over the past 15 years has been the emergence of noninvasive ventilation (NIV) as an increasing part of the critical care armamentarium [1]. Noninvasive positive-pressure ventilation (NPPV) is the delivery of mechanical ventilation to patients with respiratory failure without the requirement of an artificial airway. Although NPPV is often used for long-term nocturnal or continuous support of patients with forms of chronic respiratory failure [2], its use is increasingly popular in varied clinical situations in the intensive care unit (ICU) setting as high-level evidence supporting its use continues to accumulate [35].

The attraction for NPPV relates primarily to its advantages over invasive mechanical ventilation (Table 1). It has been shown to comparatively decrease resource utilization and circumvent the myriad of complications associated with invasive mechanical ventilation such as upper airway ...