ABSTRACT
In the past 2 decades, noninvasive positive pressure ventilation (NIPPV) has been increasingly used in acute respiratory failure to avoid the risks associated with intubation. It is now considered standard first-line therapy in several situations. In this review, we summarize how NIPPV has evolved, the current level of evidence that supports its use in various clinical situations, its potential contraindications, and its limitations in acute respiratory failure.
- © 2010 The Cleveland Clinic Foundation. All Rights Reserved.
- Loutfi S. Aboussouan, MD⇑ and
- Basma Ricaurte, MD
- Respiratory Institute, Cleveland Clinic
- Pulmonary and Critical Care, Fairview Hospital, Cleveland, OH
- ADDRESS:
Loutfi Aboussouan, MD, Respiratory Institute, Cleveland Clinic Beachwood, 26900 Cedar Road, Suite 325-S, Beachwood, OH 44122; e-mail: aboussl{at}ccf.org.
ABSTRACT
In the past 2 decades, noninvasive positive pressure ventilation (NIPPV) has been increasingly used in acute respiratory failure to avoid the risks associated with intubation. It is now considered standard first-line therapy in several situations. In this review, we summarize how NIPPV has evolved, the current level of evidence that supports its use in various clinical situations, its potential contraindications, and its limitations in acute respiratory failure.
- © 2010 The Cleveland Clinic Foundation. All Rights Reserved.