Hamilton G5 - D NIV (Noninvasive Ventilation)

D-2 624074/07
D NIV (Noninvasive ventilation)
D.1 Introduction
CAUTION
When using a mask for noninvasive ventilation,
pay special attention to how the mask is attached
to prevent patient skin irritation.
NOTE:
• Noninvasive ventilation in critically ill patients should
only be used by properly trained and experienced
personnel.
• As a precaution, you must be prepared to intubate
the patient and start invasive ventilation at any time
while noninvasive ventilation is in use.
• The use of a mask can increase dead space. Always
comply with the mask manufacturer’s instructions
when using noninvasive ventilation.
The noninvasive ventilation mode (NIV) and the spontaneous/
timed noninvasive ventilation mode (NIV-ST) are implementa-
tions of noninvasive positive pressure ventilation (NPPV). NPPV
can use as its patient interface a mask, mouthpiece, or helmet-
type interface, rather than an invasive conduit such as an endo-
tracheal tube.
Used for years in home care and subacute care settings, NPPV
can also benefit intensive care ventilation patients by decreas-
ing the need for intubation and promoting early extubation.
Benefits such as reduced mortality (COPD patients), reduced
ventilation time (COPD and ARF patients), and reduced compli-
cation rates (of ventilator-associated pneumonias) have been
clearly demonstrated
1,2
.
1. Mehta S et al. Noninvasive ventilation. Am J Respir Crit Care Med 2001
Feb;163(2):540-77.