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Báo cáo y học: "Clinical review: Noninvasive ventilation in the clinical setting – experience from the past 10 year"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Clinical review: Noninvasive ventilation in the clinical setting – experience from the past 10 years. | Critical Care February 2005 Vol 9 No 1 Antonelli et al. Review Clinical review Noninvasive ventilation in the clinical setting -experience from the past 10 years Massimo Antonelli1 Mariano Alberto Pennisi2 and Luca Montini3 1 Professor of Intensive Care and Anesthesiology Unità Operativa di Rianimazione e Terapia Intensiva Istituto di Anestesia e Rianimazione Policlinico Universitario A Gemelli Università Cattolica del Sacro Cuore Roma Italy 2Assistant Professor of Intensive Care and Anesthesiology Unità Operativa di Rianimazione e Terapia Intensiva Istituto di Anestesia e Rianimazione Policlinico Universitario A Gemelli Università Cattolica del Sacro Cuore Roma Italy 3Research Fellow Unità Operativa di Rianimazione e Terapia Intensiva Istituto di Anestesia e Rianimazione Policlinico Universitario A Gemelli Università Cattolica del Sacro Cuore Roma Italy Corresponding author Massimo Antonelli m.antonelli@rm.unicatt.it Published online 25 August 2004 Critical Care 2005 9 98-103 DOI 10.1186 cc2933 This article is online at http ccforum.com content 9 1 98 2004 BioMed Central Ltd Abstract This brief review analyses the progress of noninvasive ventilation NIV over the last decade. NIV has gained the dignity of first line intervention for acute exacerbation of chronic obstructive pulmonary disease assuring reduction of the intubation rate rate of infection and mortality. Despite positive results NIV still remains controversial as a treatment for acute hypoxemic respiratory failure largely due to the different pathophysiology of hypoxemia. The infection rate reduction effect achieved by NIV application is crucial for immunocompromised patients for whom the endotracheal intubation represents a high risk. Improvements in skills acquired with experience over time progressively allowed successful treatment of more severe patients. Keywords COPD helmet hypoxemic respiratory failure immunocompromised noninvasive ventilation Introduction The term acute respiratory failure ARF .