TY - JOUR
T1 - Non-invasive ventilation in patients with an altered level of consciousness. A clinical review and practical insights
AU - Gonçalves, Gil
AU - Saeed, Haitham
AU - Abdelrahim, Mohamed E.
AU - Harb, Hadeer S.
AU - Madney, Yasmin M.
AU - Eng, Kevin
AU - Karim, Habib M.R.
AU - El-Khatib, Mohamad
AU - Mina, Bushra
AU - Skoczyński, Szymon
AU - Sarc, Irena
AU - Caldeira, Vânia
AU - Cabral, Sara M.
AU - Cabrita, Bruno
AU - Guia, Miguel
AU - Duan, Jun
AU - Barjaktarevic, Igor
AU - Fiorentino, Giuseppe
AU - Piervincenzi, Edoardo
AU - Köksal, Güniz
AU - Sarin, Sibel O.
AU - Papadakos, Peter J.
AU - Bayrakci, Benan
AU - Hadda, Vijay
AU - Laier-Groeneveld, Gerhard
AU - Burns, Karen E.A.
AU - Scala, Raffaele
AU - Alcaraz, Andres C.
AU - Esquinas, Antonio M.
N1 - Publisher Copyright:
© 2020 PTChP.
PY - 2020
Y1 - 2020
N2 - Non-invasive ventilation has gained an increasingly pivotal role in the treatment of acute hypoxemic and/or hypercapnic respiratory failure and offers multiple advantages over invasive mechanical ventilation. Some of these advantages include the preserva-tion of airway defense mechanisms, a reduced need for sedation, and an avoidance of complications related to endotracheal intubation. Despite its advantages, non-invasive ventilation has some contraindications that include, among them, severe encephalopathy. In this review article, the rationale, evidence, and drawbacks of the use of noninvasive ventilation in the context of hypercapnic and non-hypercapnic patients with an altered level of consciousness are analyzed.
AB - Non-invasive ventilation has gained an increasingly pivotal role in the treatment of acute hypoxemic and/or hypercapnic respiratory failure and offers multiple advantages over invasive mechanical ventilation. Some of these advantages include the preserva-tion of airway defense mechanisms, a reduced need for sedation, and an avoidance of complications related to endotracheal intubation. Despite its advantages, non-invasive ventilation has some contraindications that include, among them, severe encephalopathy. In this review article, the rationale, evidence, and drawbacks of the use of noninvasive ventilation in the context of hypercapnic and non-hypercapnic patients with an altered level of consciousness are analyzed.
KW - Altered consciousness
KW - Coma
KW - Encephalopathy
KW - Non-invasive ventilation
UR - https://www.scopus.com/pages/publications/85088515282
U2 - 10.5603/ARM.2020.0110
DO - 10.5603/ARM.2020.0110
M3 - Review article
C2 - 32706107
AN - SCOPUS:85088515282
SN - 2451-4934
VL - 88
SP - 233
EP - 244
JO - Advances in Respiratory Medicine
JF - Advances in Respiratory Medicine
IS - 3
ER -