“I wanted to start NIV in the ED, but I did not know the exact etiology of the patient’s respiratory distress.”
Often, a patient will present to the ED in undifferentiated respiratory distress, but can still benefit from a trial of NIV. However, NIV should not be attempted if the patient meets contraindications, which are detailed in Table 2. An emergency clinician should remain vigilant and be ready for mechanical ventilation if the patient does not improve while on NIV.
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