Abstract
Endoscopic procedures, such as airway, cardiovascular, and gastrointestinal procedures are the minimal invasive diagnostic and therapeutic approaches in expansion. These procedures often require sedation to ensure patient compliance and consequent success of procedure. However, they are associated with desaturation and hypoventilation, especially in patients with low pulmonary and cardiovascular reserve. Noninvasive Mechanical Ventilation (NIMV) is a safe procedure that provides ventilatory support, allowing endoscopic examinations, but avoiding the complications of Invasive Mechanical Ventilation (IMV). It requires a trained team and an environment capable of cardiopulmonary resuscitation. In recent years, interfaces have emerged that allow the insertion of endoscopic probes, with less air leak, ensuring adequate ventilatory support during the procedure. Currently, the effectiveness of using NIMV as ventilatory support in flexible bronchoscopy is supported by prospective studies and clinical trials. Although in widespread use, its use in cardiological and gastrointestinal endoscope procedures is only supported by observation studies. This type of approach may expand in the future, due to the possibility of reducing costs and complications.
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Arana Ribeiro, J., Jesus, F., Almeida, É., Fernandes Costa, J., Reis, M. (2023). Noninvasive Mechanical Ventilation in the Endoscopic Wards. 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_23
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DOI: https://doi.org/10.1007/978-3-031-37796-9_23
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