Scala Raffaele
Recenti Prog Med. 2012 Dec;103(12):584-8. doi: 10.1701/1206.13362.
Given its prevalence into the clinical practice, non-invasive ventilation (NIV) can be included among the cornerstones of medicine. Just think of the acute applications of NIV which are in constant expansion, from COPD exacerbation to severe de novo hypoxemia, from postoperative distress to extra-hospital use in acute pulmonary edema, from ongoing support of interventional procedures to delicate strategies for end of life in terminally ill oncologic and non-oncologic patients. The thought should be focused on how, by whom, where and to whom is delivered this mode of artificial ventilation to avoid the risk of trivialization and flattening.
鉴于无创通气（NIV）在临床实践中的广泛应用，它可被视为医学的基石之一。只需想想NIV的急性应用，其应用范围在不断扩大，从慢性阻塞性肺疾病（COPD）急性加重到严重的新发低氧血症，从术后不适到急性肺水肿的院外使用，从介入手术的持续支持到终末期肿瘤和非肿瘤患者临终时的精细策略。我们应关注这种人工通气模式是如何、由谁、在何处以及给予何人，以避免其被轻视和平庸化的风险。
