NIV guidelines

Are patients with COPD treated with NIV in accordance with national guidelines? An internal audit.

INTRODUCTION Non-invasive ventilation (NIV) as an add-on modality to medical treatment has been recommended in national guidelines for patients acutely admitted with chronic obstructive pulmonary disorder (COPD) exacerbation and hypercapnic respiratory failure. To address concerns regarding whether NIV is used appropriately, we conducted an audit of COPD patients admitted to a university hospit...

NIV at home: resource implications.

Outcomes of patients receiving non-invasive ventilation (NIV) in the general intensive care unit: is NIV duration an important factor?

Methods We conducted a retrospective care note analysis of all patients receiving their first NIV period at any time during their ICU admission between 1 January 2014 and 31 December 2014. Patients receiving NIV after a period of mechanical ventilation were excluded from this analysis. Patients were analysed depending on whether they received NIV for a total period of < 48 hours or > 48 hours. ...

Profound bradycardia associated with NIV removal

A patient with lower-limb onset ALS presented with a one-month history of vasovagal episodes and a one-week history of cough productive of green sputum and lethargy. She was drowsy and in acute on chronic type-two respiratory failure. She responded to non-invasive ventilation, however she suffered recurrent episodes of profound bradycardia on removal of the mask, which gradually resolved over t...

Improvement of respiratory failure with NIV.

failure with NIV In their recent paper Nickol et al studied the possible mechanisms by which non-invasive ventilation (NIV) improves ventilatory failure in patients with a restrictive defect due to either neuromuscular disease or kyphoscoliosis. They investigated three possible hypotheses for reduction in daytime hypercapnia— namely, increased ventilatory sensitivity to CO2, improved respirator...