Abstract
Acute respiratory failure (ARF) is a common reason for intensive care unit (ICU) admission. While invasive mechanical ventilation (IMV) is a cornerstone of supportive treatment for ARF, there are patients who receive a do-not-intubate (DNI) order. Variability in DNI rates may reflect the characteristics of patients, families, physicians and hospitals. Performing noninvasive ventilation (NIV) in patients with DNI orders can have a curative or a palliative purpose. Many crucial uncertainties remain regarding this topic. Additional research is warranted, particularly in patients receiving palliative care.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rubins JB. Use of combined do-not-resuscitate/do-not intubate orders without documentation of intubation preferences: a retrospective observational study at an academic level 1 trauma center code status and intubation preferences. Chest. 2020;158(1):292–7.
Wilson ME, Mittal A, Karki B, Dobler CC, Wahab A, Curtis JR, et al. Do-not-intubate orders in patients with acute respiratory failure: a systematic review and meta-analysis. Intensive Care Med. 2020;46(1):36–45.
Esbensen KL. What matters most when considering noninvasive ventilation for patients with do-not-intubate or comfort-measures-only orders? Crit Care Med. 2018;46:1367–70.
Vilaça M, Aragão I, Cardoso T, Dias C, Cabral-Campello G. The role of noninvasive ventilation in patients with “do not intubate” order in the emergency setting. PLoS One. 2016;11(2):e0149649.
Azoulay É, Kouatchet A, Jaber S, Lambert J, Meziani F, Schmidt M, et al. Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med. 2013;39(2):292–301.
Wilson ME, Majzoub AM, Dobler CC, Curtis JR, Nayfeh T, Thorsteinsdottir B, et al. Noninvasive ventilation in patients with do-not-intubate and comfort-measures-only orders: a systematic review and meta-analysis. Crit Care Med. 2018;46(8):1209–16.
Nava S, Ferrer M, Esquinas A, Scala R, Groff P, Cosentini R, et al. Palliative use of non-invasive ventilation in end-of-life patients with solid tumours: a randomised feasibility trial. Lancet Oncol. 2013;14(3):219–27.
Ambrosino N, Fracchia C. Strategies to relieve dyspnoea in patients with advanced chronic respiratory diseases. A narrative review, vol. 25. Pulmonology; 2019. p. 289–98.
Wilson ME, Mittal A, Karki B, Dobler CC, Wahab A, Curtis JR, Erwin PJ, Majzoub AM, Montori VM, Gajic O, Murad MH. Do-not-intubate orders in patients with acute respiratory failure: a systematic review and meta-analysis. Intensive Care Med. 2020;46(1):36–45.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Noivo, D., Ferro, R. (2023). Noninvasive Mechanical Ventilation in Do-Not-Intubation Order. 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_5
Download citation
DOI: https://doi.org/10.1007/978-3-031-37796-9_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-37795-2
Online ISBN: 978-3-031-37796-9
eBook Packages: MedicineMedicine (R0)