Abstract
Noninvasive mechanical ventilation is increasingly being considered an emergency treatment outside of intensive care units such as emergency department (ED), high-dependency unit (HDU), and wards for patients with acute respiratory failure. The two types of noninvasive ventilation (NIV) are bi-level positive pressure and continuous positive pressure. These pressures deliver high pressure and help to reduce the workload of the patient, which will avoid intubation and reduce the hospital stay. There is so much evidence for the effectiveness of this treatment for patients with acute exacerbations of chronic obstructive pulmonary diseases and acute cardiogenic pulmonary edema. Other conditions included in this chapter are asthma and community-acquired pneumonia. The main criteria for initiating these therapies are based on blood gas values and the clinical symptoms of patients. The successful outcomes of NIV are based on the appropriate selection of patients, interfaces, and pressures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
British Thoracic Society Standards of Care Committee. BTS guideline. Non-invasive ventilation in acute respiratory failure. Thorax. 2002;57:192–211.
Winters ME, Allison MG. Non-invasive ventilation for the emergency physician. Emerg Med Clin North Am. 2016;34:51–62.
Ward JJ. High-flow oxygen administration by nasal cannula for adult and perinatal patients. Respir Care. 2013;58:98–122.
Kallet RH, Diaz JV. The physiologic effects of noninvasive ventilation. Respir Care. 2009;54:102–15.
Evans TW. International consensus conferences in intensive care medicine: non-invasive positive pressure ventilation in acute respiratory failure. Organized jointly by the American Thoracic Society, the European Respiratory Society, the European Society of Intensive Care Medicine, and the Société de reanimation de langue Francaise, and approved by the ATS Board of directors, December 2000. Intensive Care Med. 2001;27(1):166–78.
Liesching T, Kwok H, Hill NS. Acute applications of noninvasive positive pressure ventilation. Chest. 2003;124(2):699–713.
Elliott MW, Confalonieri M, Nava S. Where to perform noninvasive ventilation? Eur Respir J. 2002;19(6):1159–66.
Ram FS, PicotJ L, et al. Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbation of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2004;3:CD004104.
Keenan SP, Sinuff T, Burns KEA, et al. Long—term prognosis of acute pulmonary oedema- am ominous outcome. Eur J Heart Fail. 2000;2:137–44.
Ursella S, Mazzone M, Portale G, Conti G, Antonelli M. The use of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema. Eur Rev Med Pharmacol Sci. 2007;11:193–205.
Chiumello D, Iapichino G, Berto V. Noninvasive ventilation outside of intensive care units. Berlin, Heidelberg: Springer-Verlag; 2010. p. 223–8.
Ledger P, Bedicam JM, Cornette A, et al. Nasal intermittent positive pressure: long-term follow-up in patients with severe chronic respiratory insufficiency. Chest. 1994;105:100–5.
Cairo JM. Pilbeam’s mechanical ventilation- physiological and clinical application. 7th. ed; ISBN-13: 978–0323551274.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Abi Das, R.J. (2023). Noninvasive Mechanical Ventilation in the Emergency Room. Clinical Indication and Organization. In: Esquinas, A.M., Spicuzza, L., Scala, R. (eds) Noninvasive Ventilation Outside Intensive Care Unit. Noninvasive Ventilation. The Essentials. Springer, Cham. https://doi.org/10.1007/978-3-031-37796-9_16
Download citation
DOI: https://doi.org/10.1007/978-3-031-37796-9_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-37795-2
Online ISBN: 978-3-031-37796-9
eBook Packages: MedicineMedicine (R0)