Skip to main content
SpringerLink
Log in

Noninvasive Mechanical Ventilation in Conventional Hospitalization Ward of Internal Medicine

  • Chapter
  • First Online:
Noninvasive Ventilation Outside Intensive Care Unit

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

  • 145 Accesses

Abstract

Noninvasive mechanical ventilation and, more recently, high-flow oxygen therapy using nasal cannulas (HFNC), are increasingly used in patients with acute respiratory failure. Since its beginning in intensive care units, it has been progressively extended to other hospitalization areas, adapting to the peculiarities of each center. In small hospitals, the performance of these techniques in conventional wards is increasingly frequent in the absence of free intensive care beds and even the lack of these units. This chapter reviews the requirements and makes recommendations for the management of devices and patients with ventilatory support in conventional medical hospitalization wards of a polyvalent internal medicine service.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Rochwerg B, Brochard L, Elliott MW, Hess D, Hill NS, Nava S, Navalesi P, Members of The Steering Committee, Antonelli M, Brozek J, Conti G, Ferrer M, Guntupalli K, Jaber S, Keenan S, Mancebo J, Mehta S, Raoof S, Members of the Task Force. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017;50(2):1602426.

    Article  PubMed  Google Scholar 

  2. Elliott MW, Confalonieri M, Nava S. Where to perform noninvasive ventilation? Eur Respir J. 2002;19(6):1159–66.

    Article  CAS  PubMed  Google Scholar 

  3. Calligaro GL, Lalla U, Audley G, Gina P, Miller MG, Mendelson M, Dlamini S, Wasserman S, Meintjes G, Peter J, Levin D, Dave JA, Ntusi N, Meier S, Little F, Moodley DL, Louw EH, Nortje A, Parker A, Taljaard JJ, Allwood BW, Dheda K, Koegelenberg CFN. The utility of high-flow nasal oxygen for severe COVID-19 pneumonia in a resource-constrained setting: a multi-centre prospective observational study. EClinicalMedicine. 2020;28:100570.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Suárez-Díaz S, Ortiz-Reyes AM, Valdés-Bécares J, Fuente-Cosío S, Pérez-Piñeiro A, Lobo-García J, Gallo-Álvaro C, Gallego-Villalobos M, Manrique-Pérez JM, Rodríguez-Rodríguez S, Arceo-Solís R, Suárez-Fernández S, Suárez-Pedreira I, Hernando-Gómez M, Rodríguez-Seoane MR, Llorente-García J, Díaz-Fernández V, Puente-Fernández S, Ramírez-Baum CE, Alfonso-Megido J. Letter from Spain: high-flow nasal oxygen-‘Go with the flow’. Respirology. 2021;26(12):1192–4.

    Article  PubMed  Google Scholar 

  5. Confalonieri M, Garutt G, Cattaruzza MS, Osborn JF, Antonelli M, Conti G, Kodric M, Resta O, et al. A chart of failure risk for non-invasive ventilation in patients with COPD exacerbation. Eur Respir J. 2005;25:348–55.

    Article  CAS  PubMed  Google Scholar 

  6. Masip J, Peacock WF, Price S, Cullen L, Martin-Sanchez FJ, Seferovic P, Maisel AS, Miro O, Filippatos G, Vrints C, Christ M, Cowie M, Platz E, McMurray J, DiSomma S, Zeymer U, Bueno H, Gale CP, Lettino M, Tavares M, Ruschitzka F, Mebazaa A, Harjola VP, Mueller C. Acute heart failure study Group of the Acute Cardiovascular Care Association and the committee on acute heart failure of the heart failure Association of the European Society of cardiology. Indications and practical approach to non-invasive ventilation in acute heart failure. Eur Heart J. 2018;39(1):17–25.

    Article  PubMed  Google Scholar 

  7. Azoulay E, Kouatchet A, Jaber S, Lambert J, Meziani F, Schmidt M, Schnell D, Mortaza S, Conseil M, Tchenio X, Herbecq P, Andrivet P, Guerot E, Lafabrie A, Perbet S, Camous L, Janssen-Langenstein R, Collet F, Messika J, Legriel S, Fabre X, Guisset O, Touati S, Kilani S, Alves M, Mercat A, Similowski T, Papazian L, Meert AP, Chevret S, Schlemmer B, Brochard L, Demoule A. Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med. 2013;39(2):292–301.

    Article  PubMed  Google Scholar 

  8. Dave C, Turner A, Thomas A, et al. Utility of respiratory ward-based NIV in acidotic hypercapnic respiratory failure. Respirology. 2014;19:1241–7.

    Article  PubMed  Google Scholar 

  9. Roca O, Caralt B, Messika J, Samper M, Sztrymf B, Hernández G, García-de-Acilu M, Frat JP, Masclans JR, Ricard JD. An index combining respiratory rate and oxygenation to predict outcome of nasal high-flow therapy. Am J Respir Crit Care Med. 2019;199(11):1368–76.

    Article  PubMed  Google Scholar 

  10. Farha S, Ghamra ZW, Hoisington ER, Butler RS, Stoller JK. Use of noninvasive positive-pressure ventilation on the regular hospital ward: experience and correlates of success. Respir Care. 2006;51(11):1237–43.

    PubMed  Google Scholar 

  11. Cabrini L, Esquinas A, Pasin L, et al. An international survey on noninvasive ventilation use for acute respiratory failure in general non-monitored wards. Respir Care. 2015;60:586–92.

    Article  PubMed  Google Scholar 

  12. Özsancak Ugurlu A, Sidhom SS, Khodabandeh A, et al. Where is noninvasive ventilation delivered for acute respiratory failure? Lung. 2015;193:779–88.

    Article  PubMed  Google Scholar 

  13. Luján M, Peñuelas Ó, Cinesi Gómez C, García-Salido A, Moreno Hernando J, Romero Berrocal A, Gutiérrez Ibarluzea I, Masa Jiménez JF, Mas A, Carratalá Perales JM, Gaboli M, Concheiro Guisán A, García Fernández J, Escámez J, Parrilla Parrilla J, Farrero Muñoz E, González M, Heili-Frades SB, Sánchez Quiroga MÁ, Rialp Cervera G, Hernández G, Sánchez Torres A, Uña R, Ortolà CF, Ferrer Monreal M, Egea SC. Summary of recommendations and key points of the consensus of Spanish scientific societies (SEPAR, SEMICYUC, SEMES; SECIP, SENEO, SEDAR, SENP) on the use of non-invasive ventilation and high-flow oxygen therapy with nasal cannulas in adult, pediatric, and neonatal patients with severe acute respiratory failure. Med Intensiva. 2021;45(5):298–312.

    Article  PubMed  Google Scholar 

  14. Cinesi-Gómez C, Peñuelas-Rodríguez Ó, Luján-Torné ML, Egea-Santaolalla C, Masa-Jiménez JF, García-Fernández J, Carratalá-Perales JM, Heili-Frades SB, Ferrer-Monreal M, de Andrés-Nilsson JM, Lista-Arias E, Sánchez-Rocamora JL, Garrote JI, Zamorano-Serrano MJ, González-Martínez M, Farrero-Muñoz E, Mediano-San Andrés O, Rialp-Cervera G, Mas-Serra A, Hernández-Martínez G, de Haro-López C, Roca-Gas O, Ferrer-Roca R, Romero-Berrocal A, Ferrando-Ortola C. Clinical consensus recommendations regarding non-invasive respiratory support in the adult patient with acute respiratory failure secondary to SARS-CoV-2 infection. Rev Esp Anestesiol Reanim. 2020;67(5):261–70.

    PubMed Central  Google Scholar 

  15. Cabrini L, Idone C, Colombo S, Monti G, Bergonzi PC, Landoni G, Salaris D, Leggieri C, Torri G. Medical emergency team and non-invasive ventilation outside ICU for acute respiratory failure. Intensive Care Med. 2009;35(2):339–43.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Valle del Nalón Hospital, Langreo, Asturias, Spain

    Joaquín Alfonso Megido

  2. Internal Medicine Department, Hospital Valle del Nalón, Langreo, Asturias, Spain

    Silvia Suárez Díaz & Juan Valdés Bécares

Authors
  1. Joaquín Alfonso Megido
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Silvia Suárez Díaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Juan Valdés Bécares
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joaquín Alfonso Megido .

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

Rights and permissions

Reprints and permissions

Copyright information

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

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Megido, J.A., Díaz, S.S., Bécares, J.V. (2023). Noninvasive Mechanical Ventilation in Conventional Hospitalization Ward of Internal Medicine. 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_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-37796-9_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-37795-2

  • Online ISBN: 978-3-031-37796-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation