Experiences of noninvasive ventilation in adults with hypercapnic respiratory failure: a review of evidence

Abstract

Noninvasive ventilation (NIV) has been shown to be beneficial for patients with respiratory failure; however, many patients fail to tolerate it and require other interventions. The objective of this thematic synthesis was to describe the nature of NIV experiences in adults with hypercapnic respiratory failure. A systematic, computerised literature search of English-language databases was undertaken with no restriction on date of publication. A total of 99 papers was identified and screened for eligibility from databases including CINAHL, Medline and PsycINFO, and some were hand searched. 45 papers were critically appraised and 32 met our inclusion criteria. Thematic analysis identified six key themes: benefits of NIV; fear (of various categories, namely, fear of technology/mask, fear of death and dying, and fear of pain and suffering); adaptation to NIV machine; decision making; need for information; and relationship with healthcare professionals. For people using NIV treatment, the experience of being on the NIV machine is unexpected and can be stressful. Findings from this review offer healthcare professionals insights and understanding into the patient experience of NIV. Healthcare professionals may use these findings to implement new strategies in NIV provision and the exploration of the applicability of age-specific supportive care NIV guidelines.

The Effect of a Non-Invasive Positive Pressure Ventilation Simulation Program on General Ward Nurses’ Knowledge and Self-Efficacy

“…Lastly, six details which included the connecting and management of circuits, explaining the need for a ventilator and use of masks, ventilator manipulation, and treatment of clinical indicators, were reviewed and picked out by three head nurses in a general ward and a professor from the department of respiratory medicine. A one-minute NPPV experience was included in the program to enhance empathy by referring to the papers on the painful experiences of patients with ventilators [18,19].…”

High Flow Nasal Oxygen for Acute Type 2 Respiratory Failure: A Systematic Review and Meta-Analysis Protocol

“…Mask discomfort is seen in up to 50% of patients and skin compromise is seen in up to 20% of patients. There are also relative medical contraindications including emesis, reduced mentation and reduced access to physiotherapy manoeuvres that limit its use (12,13).…”

Non-invasive ventilation

“…Je určitým paradoxem, že v situaci, kdy prakticky každá lékařská intervence vyžaduje důkladné poučení pacienta se sepsáním informovaného souhlasu, bývá IMV často in dikována bez poskytnutí adekvátních informací nemoc nému a bez jeho zapojení do rozhodovacího procesu [24]. NIV může pomoci "získat čas" a adekvátně informovat pa cienta o jeho onemocnění a léčebných možnostech.…”