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Noninvasive Mechanical Ventilation in Geriatric Wards

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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

Noninvasive mechanical ventilation (NIV) in elderly patients with acute respiratory failure (ARF) successfully prevents unnecessary intubation and a prolonged hospital stay and reduces hospital mortality rate acutely, especially in some conditions such as acute on chronic respiratory failure, acute heart failure, pneumonia, and prevention of post-extubation ARF. NIV is also the main management of ventilator in elderly patients with “DNI order” with cardio-pulmonary disease according to some studies even if studies in this area are still insufficient and often controversial. An emerging issue is the management of elderly patients with respiratory failure and dementia although the presence of cognitive impairment and delirium are not a barrier to the administration of NIV. Indeed, some studies have shown a better management of symptoms in very elderly hospitalized patients in a non-intensive care unit setting followed by a multidisciplinary medical staff conforming to principles of comprehensive geriatric assessment and treatment, the involvement of family caregiver and the attention to quality of life according to the principles of Acute Care for Elders (ACE) model usually used in geriatric wards.

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Authors and Affiliations

  1. Geriatric Service-Cognitive Disorders and Dementia Unit, Health Authority and Services (AUSL) of Modena, Modena, Italy

    Andrea Fabbo, Lucia Bergamini & Giulia Vaccari

  2. Geriatric Ward, Baggiovara Hospital, Department of Surgical, Medical, Dental and Morphological Sciences, University of Modena and Reggio Emilia, Modena, Italy

    Giuseppina Fabbo

  3. Geriatric and Intensive Geriatric Care, San Giuseppe Moscati Hospital, Avellino, Italy

    Nicola Vargas

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  1. Andrea Fabbo
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  2. Lucia Bergamini
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  3. Giuseppina Fabbo
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  4. Giulia Vaccari
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  5. Nicola Vargas
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Correspondence to Andrea Fabbo .

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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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Fabbo, A., Bergamini, L., Fabbo, G., Vaccari, G., Vargas, N. (2023). Noninvasive Mechanical Ventilation in Geriatric 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_26

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  • DOI: https://doi.org/10.1007/978-3-031-37796-9_26

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