Clinical Course In The Emergency Department | Noninvasive Ventilation

<< Noninvasive Ventilation For Patients In Acute Respiratory Distress: An Update

Clinical Course In The Emergency Department

Once it is decided that NIV is a viable option, the emergency clinician needs to optimize the clinical course and monitor for signs of clinical deterioration and complications. This may require frequent examinations, laboratory tests, and reassessments. A 3-year observational study in France identified 3 factors as early predictors of NIV failure: 72

  1. Respiratory failure that is not acute-on-chronic (eg, pneumonia)
  2. Acidosis, with pH < 7.3
  3. Severe hypoxemia, assessed after 1 hour on NIV

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