Non-invasive Ventilation in Acute Respiratory Failure

One of the cornerstones of critical care medicine is support of the failing respiratory system. The 2 major components of managing respiratory failure are the acute intervention and the weaning process. Many of the studies to determine the optimal methods of ventilation and weaning have focused on...

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Main Authors: Gurmeet Singh, Ceva W Pitoyo
Format: Article
Language:English
Published: Interna Publishing 2014-01-01
Series:Acta Medica Indonesiana
Online Access:https://mail.actamedindones.org/index.php/ijim/article/view/70
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author Gurmeet Singh
Ceva W Pitoyo
author_facet Gurmeet Singh
Ceva W Pitoyo
author_sort Gurmeet Singh
collection DOAJ
description One of the cornerstones of critical care medicine is support of the failing respiratory system. The 2 major components of managing respiratory failure are the acute intervention and the weaning process. Many of the studies to determine the optimal methods of ventilation and weaning have focused on non-invasive positive-pressure ventilation as an alternative to invasive ventilation, with various causes of acute respiratory failure. Non-invasive ventilation refers to the provision of ventilatory support to the lungs, without the use of an endotracheal airway. It has emerged as an important tool in the treatment of acute respiratory failure. Non-invasive positive ventilation has undergone a remarkable evolution over the past decades and is assuming an important role in the management of both acute and chronic respiratory failure. There is improvement in gas exchange, relief of respiratory muscle fatigue, and clinical outcome with reduced morbidity and mortality. Nevertheless, contraindications and failures need to be identified early, as delaying endotracheal intubation is associated with increased morbidity and mortality. Furthermore, although it is common practice to give intubation and mechanical ventilation, complications can result from the intubation process (damage to local tissue) and during the course of ventilation (pneumonia and sinusitis associated with ventilators), prolonging stay in intensive care, length of hospital stay and mortality in selected patients. Key words: non invasive ventilation, mechanical ventilation, acute respiratory failure.
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spelling doaj-art-e6c5e01307af40fc843afc41732a2e0b2025-08-20T03:55:48ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322014-01-01461Non-invasive Ventilation in Acute Respiratory FailureGurmeet Singh0Ceva W Pitoyo1Departement of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Departement of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia. One of the cornerstones of critical care medicine is support of the failing respiratory system. The 2 major components of managing respiratory failure are the acute intervention and the weaning process. Many of the studies to determine the optimal methods of ventilation and weaning have focused on non-invasive positive-pressure ventilation as an alternative to invasive ventilation, with various causes of acute respiratory failure. Non-invasive ventilation refers to the provision of ventilatory support to the lungs, without the use of an endotracheal airway. It has emerged as an important tool in the treatment of acute respiratory failure. Non-invasive positive ventilation has undergone a remarkable evolution over the past decades and is assuming an important role in the management of both acute and chronic respiratory failure. There is improvement in gas exchange, relief of respiratory muscle fatigue, and clinical outcome with reduced morbidity and mortality. Nevertheless, contraindications and failures need to be identified early, as delaying endotracheal intubation is associated with increased morbidity and mortality. Furthermore, although it is common practice to give intubation and mechanical ventilation, complications can result from the intubation process (damage to local tissue) and during the course of ventilation (pneumonia and sinusitis associated with ventilators), prolonging stay in intensive care, length of hospital stay and mortality in selected patients. Key words: non invasive ventilation, mechanical ventilation, acute respiratory failure. https://mail.actamedindones.org/index.php/ijim/article/view/70
spellingShingle Gurmeet Singh
Ceva W Pitoyo
Non-invasive Ventilation in Acute Respiratory Failure
Acta Medica Indonesiana
title Non-invasive Ventilation in Acute Respiratory Failure
title_full Non-invasive Ventilation in Acute Respiratory Failure
title_fullStr Non-invasive Ventilation in Acute Respiratory Failure
title_full_unstemmed Non-invasive Ventilation in Acute Respiratory Failure
title_short Non-invasive Ventilation in Acute Respiratory Failure
title_sort non invasive ventilation in acute respiratory failure
url https://mail.actamedindones.org/index.php/ijim/article/view/70
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