open access

Vol 88, No 3 (2020)
REVIEWS
Published online: 2020-07-18
Submitted: 2020-03-27
Accepted: 2020-05-12
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Non-invasive ventilation in patients with an altered level of consciousness. A clinical review and practical insights

Gil Gonçalves, Haitham Saeed, Mohamed E. Abdelrahim, Hadeer S. Harb, Yasmin M. Madney, Kevin Eng, Habid M.R. Karim, Mohamad El-Khatib, Bushra Mina, Szymon Skoczyński, Irena Sarc, Vânia Caldeira, Sara M. Cabral, Bruno Cabrita, Miguel Guia, Jun Duan, Igor Barjaktarevic, Giuseppe Fiorentino, Edoardo Piervincenzi, Güniz Köksal, Sibel O. Sarin, Peter J. Papadakos, Benan Bayrakci, Vijay Hadda, G. Laier-Groeneveld, Karen E.A. Burns, Raffaele Scala, Andres C. Alcaraz, Antonio M. Esquinas
DOI: 10.5603/ARM.2020.0110
·
Pubmed: 32706107
·
Adv Respir Med 2020;88(3):233-244.

open access

Vol 88, No 3 (2020)
REVIEWS
Published online: 2020-07-18
Submitted: 2020-03-27
Accepted: 2020-05-12

Abstract

Non-invasive ventilation has gained an increasingly pivotal role in the treatment of acute hypoxemic and/or hypercapnic respira-tory 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.

Abstract

Non-invasive ventilation has gained an increasingly pivotal role in the treatment of acute hypoxemic and/or hypercapnic respira-tory 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.

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Keywords

noninvasive mechanical ventilation; altered consciousness; encephalopathy; coma

About this article
Title

Non-invasive ventilation in patients with an altered level of consciousness. A clinical review and practical insights

Journal

Advances in Respiratory Medicine

Issue

Vol 88, No 3 (2020)

Pages

233-244

Published online

2020-07-18

DOI

10.5603/ARM.2020.0110

Pubmed

32706107

Bibliographic record

Adv Respir Med 2020;88(3):233-244.

Keywords

noninvasive mechanical ventilation
altered consciousness
encephalopathy
coma

Authors

Gil Gonçalves
Haitham Saeed
Mohamed E. Abdelrahim
Hadeer S. Harb
Yasmin M. Madney
Kevin Eng
Habid M.R. Karim
Mohamad El-Khatib
Bushra Mina
Szymon Skoczyński
Irena Sarc
Vânia Caldeira
Sara M. Cabral
Bruno Cabrita
Miguel Guia
Jun Duan
Igor Barjaktarevic
Giuseppe Fiorentino
Edoardo Piervincenzi
Güniz Köksal
Sibel O. Sarin
Peter J. Papadakos
Benan Bayrakci
Vijay Hadda
G. Laier-Groeneveld
Karen E.A. Burns
Raffaele Scala
Andres C. Alcaraz
Antonio M. Esquinas

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