Saving Face with Non-Invasive Ventilation (NIV)
嚜燙aving Face with
Non-Invasive Ventilation (NIV)
Robert Campbell, RRT, FAARC
Clinical Application Specialist
Philips
robert.campbell@
1
Learning Outcome
? Describe how to minimize skin breakdown and pressure points,
prevent skin breakdown, and assess skin during NIV.
2
NIV is the standard of care
※It is no exaggeration
to say that NIV has
revolutionized the
treatment of acute
respiratory failure.§1
1
3
Scott K. Epstein, MD. Respiratory Care, January 2009 Vol 54 No 1.
NIV advantages over invasive ventilation
Application
? Avoid Intubation
每 Patient discomfort
每 Upper airway trauma
? Ventilator Acquired Pneumonia (VAP)9
每 Intubation is associated with GI bleeding
每 Less chance of barotrauma
? Decreases work of breathing
每 Improves alveolar ventilation
每 Improves gas exchange
每 Counterbalances intrinsic PEEP
? Improves patient-ventilator synchrony
4
*Respiratory Care, Feb 2009 54(2):198-211)
9Respiratory
Care, July 2005; 50(7):924-931.
NIV advantages over invasive ventilation
Oral patency
? Preserves efficiency of cough
and secretion clearance
? Allows speech, enabling the
patient to communicate
? Preserves ability to swallow
? Reduces need for NG tube
5
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