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Research ArticleConference Summary

Noninvasive Ventilation in Acute Care: Controversies and Emerging Concepts

Richard H Kallet
Respiratory Care February 2009, 54 (2) 259-263;
Richard H Kallet
Cardiovascular Research Institute, and with Respiratory Care Services, Department of Anesthesia, San Francisco General Hospital, University of California, San Francisco, California.
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Abstract

This conference brought together experts on noninvasive ventilation (NIV) to discuss and debate the advances in evidence and technology over the past decade. A major impetus for the conference was that many institutions have not systematically integrated NIV into their clinical practice, despite mounting, high-level evidence supporting its effectiveness. NIV clearly improves outcomes for patients with chronic obstructive pulmonary disease and acute cardiogenic pulmonary edema when instituted as a first-line therapy. Although the evidence is less persuasive, initial intervention with NIV also might benefit a carefully selected subset of patients with acute lung injury, as well as those with acute respiratory failure who are immunocompromised. The papers in this and last month's special issue of the Journal provide an informative guide for clinicians attempting to implement NIV in their institutions. This paper summarizes the major findings from each presentation and the discussions that followed.

  • noninvasive ventilation
  • NIV
  • noninvasive positive-pressure ventilation

Footnotes

  • Correspondence: Richard H Kallet MSc RRT FAARC, Respiratory Care Services, San Francisco General Hospital, University of California, NH:GA-2, 1001 Potrero Avenue, San Francisco, California 94110. Email: rkallet{at}sfghsom.ucsf.edu.
  • Mr Kallet presented a version of this paper at the 42nd RESPIRATORY CARE Journal Conference, “Noninvasive Ventilation in Acute Care: Controversies and Emerging Concepts,” held March 7-9, 2008, in Cancún, México.

  • Copyright © 2009 by Daedalus Enterprises Inc.
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In this issue

Respiratory Care: 54 (2)
Respiratory Care
Vol. 54, Issue 2
1 Feb 2009
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Noninvasive Ventilation in Acute Care: Controversies and Emerging Concepts
Richard H Kallet
Respiratory Care Feb 2009, 54 (2) 259-263;

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Noninvasive Ventilation in Acute Care: Controversies and Emerging Concepts
Richard H Kallet
Respiratory Care Feb 2009, 54 (2) 259-263;
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Keywords

  • noninvasive ventilation
  • NIV
  • noninvasive positive-pressure ventilation

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Print ISSN: 0020-1324        Online ISSN: 1943-3654

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