Noninvasive Mechanical Ventilation - 08/08/22

Doi : 10.1016/j.emc.2022.05.010

Harman S. Gill, MD ^a,^b, Evie G. Marcolini, MD ^c,^d,^⁎
^a Department of Emergency Medicine, Section of Pulmonary & Critical Care Medicine, Geisel School of Medicine at Dartmouth
^b Department of Medicine, Section of Pulmonary & Critical Care Medicine, Geisel School of Medicine at Dartmouth
^c Department of Emergency Medicine, Division of Neurocritical Care, Geisel School of Medicine at Dartmouth
^d Department of Neurology, Division of Neurocritical Care, Geisel School of Medicine at Dartmouth

^∗Corresponding author. Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03766.Department of Emergency MedicineDartmouth-Hitchcock Medical Center1 Medical Center DriveLebanonNH03766

Resumen

This article explains the physiologic basis and fundamentals behind the technology of continuous positive airway pressure, bilevel positive airway pressure, and high flow nasal canula. Additionally, it explores some of the core literature behind their clinical applications. It will also compare HFNC with other noninvasive modalities for respiratory failure alongside clinical titration and weaning algorithms in the emergency department setting.

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Keywords : Noninvasive ventilation, Continuous positive airway pressure, Bilevel positive airway pressure, High flow nasal canula, Hypoxemia