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Noninvasive Ventilation in Step-Down Units Organization

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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

When the demand for intensive care unit (ICU) beds is greater than their availability, clinicians should be aware of patients who really need or benefit from ICU. Step-down units are good options for suitable noninvasive mechanical ventilation (NIV) patients who can be treated successfully with less personnel and sources.

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References

  1. Gotsman MS, Schrire V. Acute myocardial infarction—an ideal concept of progressive coronary care. S Afr Med J. 1968;42:829–32.

    CAS  PubMed  Google Scholar 

  2. Prin M, Wunsch H. The role of stepdown beds in hospital care. Am J Respir Crit Care Med. 2014;190(11):1210–6.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wunsch H, Nguyen YL, Angus DC. Smoothing the way: improving admission to and discharge from the ICU. In: Flaatten H, Moreno RP, Putensen C, Rhodes A, editors. Organization and management of intensive care. Berlin: European Society of Intensive Care Medicine; 2010. p. 269–76.

    Google Scholar 

  4. Johnson DW, Schmidt UH, Bittner EA, Christensen B, Levi R, Pino RM. Delay of transfer from the intensive care unit: a prospective observational study of incidence, causes, and fnancial impact. Crit Care. 2013;17(4):R128.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Garland A, Connors AF Jr. Optimal timing of transfer out of the intensive care unit. Am J Crit Care. 2013;22(5):390–7.

    Article  PubMed  Google Scholar 

  6. Hiller M, Wittmann M, Bracht H, Bakker J. Delphi study to derive expert consensus on a set of criteria to evaluate discharge readiness for adult ICU patients to be discharged to a general ward—European perspective. BMC Health Serv Res. 2022;22:773.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Non-invasive ventilation in acute respiratory failure. Thorax. 2002;57:192–211.

    Google Scholar 

  8. Confalonieri M, Gorini M, Ambrosino N, Mollica C, Corrado A, Scientific Group on Respiratory Intensive Care of the Italian Association of Hospital Pneumonologists. Respiratory intensive care units in Italy: a national census and prospective cohort study. Thorax. 2001;56(5):373–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Hill NS. Where should noninvasive ventilation be delivered? Respir Care. 2009;54(1):62–70.

    PubMed  Google Scholar 

  10. Ambrosino N, Foglio K, Rubini F, Clini E, Nava S, Vitacca M. Non-invasive mechanical ventilation in acute respiratory failure due to chronic obstructive pulmonary disease: correlates for success. Thorax. 1995;50(7):755–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Soo Hoo GW, Santiago S, Williams AJ. Nasal mechanical ventilation for hypercapnic respiratory failure in chronic obstructive pulmonary disease: determinants of success and failure. Crit Care Med. 1994;22(8):1253–61.

    Article  CAS  PubMed  Google Scholar 

  12. Confalonieri M, Garuti G, Cattaruzza MS, Osborn JF, Antonelli M, Conti G, Italian Noninvasive Positive Pressure Ventilation (NPPV) Study Group, et al. A chart of failure risk for noninvasive ventilation in patients with COPD exacerbation. Eur Respir J. 2005;25(2):348–55.

    Article  CAS  PubMed  Google Scholar 

  13. Antonelli M, Conti G, Moro ML, Esquinas A, Gonzalez-Diaz G, Confalonieri M, et al. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med. 2001;27(11):1718–28.

    Article  CAS  PubMed  Google Scholar 

  14. Rana S, Jenad H, Gay PC, Buck CF, Hubmayr RD, Gajic O. Failure of non-invasive ventilation in patients with acute lung injury: observational cohort study. Crit Care. 2006;10(3):R79.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Antonelli M, Conti G, Esquinas A, Montini L, Maggiore SM, Bello G, et al. A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Crit Care Med. 2007;35(1):18–25.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Step Down Unit, Republic of Turkiye Ministry of HealthUniversity of Health Sciences Istanbul Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey

    Huriye Berk Takir & Ayşegül Berk

Authors
  1. Huriye Berk Takir
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  2. Ayşegül Berk
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Editor information

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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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Takir, H.B., Berk, A. (2023). Noninvasive Ventilation in Step-Down Units 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_17

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  • DOI: https://doi.org/10.1007/978-3-031-37796-9_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-37795-2

  • Online ISBN: 978-3-031-37796-9

  • eBook Packages: MedicineMedicine (R0)

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