2022
DOI: 10.3389/fmed.2022.874250
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Comfort During Non-invasive Ventilation

Abstract: Non-invasive ventilation (NIV) has been shown to be effective in avoiding intubation and improving survival in patients with acute hypoxemic respiratory failure (ARF) when compared to conventional oxygen therapy. However, NIV is associated with high failure rates due, in most cases, to patient discomfort. Therefore, increasing attention has been paid to all those interventions aimed at enhancing patient's tolerance to NIV. Several practical aspects have been considered to improve patient adaptation. In particu… Show more

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Cited by 42 publications
(43 citation statements)
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“…The fractional concentration of oxygen was set to achieve peripheral oxygen saturation greater than 92%. In addition, appropriate strategies were used to improve NIV tolerance, such as controlling leakage, keeping the anchoring system as comfortable as possible, providing adequate humidification, alternatively using different interfaces, and administering sedation [ 18 ].…”
Section: Methodsmentioning
confidence: 99%
“…The fractional concentration of oxygen was set to achieve peripheral oxygen saturation greater than 92%. In addition, appropriate strategies were used to improve NIV tolerance, such as controlling leakage, keeping the anchoring system as comfortable as possible, providing adequate humidification, alternatively using different interfaces, and administering sedation [ 18 ].…”
Section: Methodsmentioning
confidence: 99%
“…In the selection of the drug, clinical and side effects should be considered. Sedative drugs should be administered in ICU, in the presence of well-trained personnel in airway emergency management, with monitoring of vital signs and depth of sedation ( 37 ).…”
Section: Discussionmentioning
confidence: 99%
“…As mentioned earlier, the presence of patient-ventilator asynchronies may impair the tolerance and comfort of the patient to NIV, leading to treatment failure (3,4,8,9). AI% values of ≥ 10% significantly reduce the comfort and NIV tolerance in 60 patients who are critically ill (8) and another population including 69 acute patients undergoing NIV through oral-nasal masks (79).…”
Section: Adult Patientsmentioning
confidence: 99%
“…In patients affected with moderate to severe forms of ARF, including cardiogenic pulmonary edema and acute-on-chronic respiratory failure, non-invasive ventilation (NIV) plays a major role ( 1 ). However, NIV is affected by a certain percentage of treatment failure, requiring mostly orotracheal intubation and institution of invasive mechanical ventilation ( 3 ).…”
Section: Introductionmentioning
confidence: 99%
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