Abstract
Psychotic disorders include a number of relatively frequent clinical pictures that have been reviewed through the latest DSM-5 classification. Patients with psychotic disorder may also have respiratory failure. Schizophrenia, for example, is associated with an increased risk of developing respiratory failure, pneumonia, COPD, and recurrent bronchitis. Psychosis, and in particular schizophrenia, is highly correlated with suicide attempts that can lead to hospitalization in semi-intensive or intensive care and give rise to the need for ventilatory therapy. Few studies have dealt with the use of NIV in patients suffering from psychosis. The studies analyzed show that being affected by psychosis is a prognostic element of failure for NIV. It was highlighted that patients suffering from psychosis generally have less access to NIV and are intubated earlier; an integrated management that foresees an effective collaboration between pulmonologists, anesthetists, psychiatrists, geriatricians, and psychologist could improve the management of these patients.
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Abbreviations
- AD:
-
Alzheimer’s dementia
- AMI:
-
Acute myocardial infarction
- COPD:
-
Chronic obstructive pulmonary disease
- CT:
-
Computed tomography
- Ego:
-
Restrains instinctual energy in order to maintain the safety of the individual and to help the person to be a member of society
- EOS:
-
Early-onset schizophrenia
- FTD:
-
Frontotemporal dementia
- GABA:
-
Gamma-aminobutyric acid
- ICU:
-
Intensive care unit
- Id:
-
The unorganized, inborn part of personality whose purpose is to immediately reduce tensions related to hunger, sex, aggression and other primitive impulses
- LBD:
-
Lewy body dementia
- LOS:
-
Late-onset schizophrenia
- MRI:
-
Magnetic resonance imaging
- NIV:
-
Noninvasive ventilation
- NMDA:
-
N-methyl-d-aspartate
- PET 18F-FDG:
-
Positron emission tomography with 2-deoxy-2-[fluorine-18] fluoro-d-glucose
- PICU:
-
Psychiatric intensive care unit
- PPE:
-
Personal protective equipment
- Superego:
-
The rights and wrongs of society and consists of the conscience and the ego-ideal
- VEOS:
-
Very early-onset schizophrenia
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Neviani, F., Fabbo, A. (2023). Psychotic Disorders and NIV. In: Esquinas, A.M., Fabbo, A., Koc, F., Prymus, A., Farnik, M. (eds) Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders . Springer, Cham. https://doi.org/10.1007/978-3-031-27968-3_21
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