Noninvasive Approach in Extubation Respiratory Failure

Abstract

Post-extubation acute respiratory failure as a result of extubation failure is reported between 10% and 20% and generates an increase in morbidity and mortality of patients and costs of health services. Noninvasive mechanical ventilation (NIMV) in this context is an effective ventilatory support option to avoid reintubation in these patients and also prevent the short- and medium-term risks that reintubation entails. The etiological diagnosis of extubation failure and its severity are the starting point for defining a patient as a candidate for NIMV, in addition the use of elective and prophylactic NIMV in patients with a high risk of failed extubation is transcendental, and noninvasive ventilatory modalities used in post-extubation acute respiratory failure are partial support. Early recognition of NIMV failure is necessary to avoid delaying the installation of invasive ventilatory support.