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Clinical Determinants of In-Hospital Outcome of Noninvasive Ventilatory Support

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Noninvasive Ventilation Outside Intensive Care Unit

Part of the book series: Noninvasive Ventilation. The Essentials ((NVE))

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Abstract

The use of noninvasive ventilatory support (NIVS) in the acute setting has provided physicians with a valuable tool to better care for their patients by providing an additional tool to treat both hypoxemic and hypercapnic respiratory failure. It is very important to recognize its strengths and weaknesses in order to correctly use it.

A correct physical examination, with vital sign monitoring, and measurement of arterial blood gases are invaluable to help clinicians decide when and how to start NIVS, and whether it is being successful or not. Some clinical scores and indexes, such as the HACOR score, may also assist in these decisions.

In the acute in-hospital setting, the only well-established indications for NIVS are acute exacerbations of chronic obstructive pulmonary disease and acute cardiogenic pulmonary edema. However, its role in other conditions has been investigated. It is important to note that there are no universal predictors for NIVS failure or success; understanding the underlying disease is essential.

The aim of this chapter is to help the reader understand the known and possible determinants and predictors of NIVS success or failure to better identify the more at-risk patients who need the closest monitoring.

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Authors and Affiliations

  1. Centro Hospitalar Universitário de Santo António, E.P.E., Porto, Portugal

    Bruno S. Silva

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  1. Bruno S. Silva
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Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales M, Murcia, Murcia, Spain

    Antonio M. Esquinas

  2. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy

    Lucia Spicuzza

  3. Cardio-Neuro-Thoracic, Metabol Dept, Pulmonology and Respiratory ICU, Ospedale San Donato, Arezzo, Italy

    Raffaele Scala

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Silva, B.S. (2023). Clinical Determinants of In-Hospital Outcome of Noninvasive Ventilatory Support. 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_42

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  • DOI: https://doi.org/10.1007/978-3-031-37796-9_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-37795-2

  • Online ISBN: 978-3-031-37796-9

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