Respiratory Care, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Clin Chest Med. 2018 Jun;39(2):437-447. doi: 10.1016/j.ccm.2018.01.014.
Noninvasive ventilation (NIV) is standard practice for patients with neuromuscular respiratory failure. The interface distinguishes noninvasive from invasive ventilation. Interfaces are commercially available in a variety of styles and sizes. There are now available portable ventilators with good leak compensation and with a variety of modes. Although much has been written about the technical aspects of interfaces and ventilators, the initiation of NIV is an art. Selection of an appropriate interface and ventilator settings requires a close working relationship between clinicians, patients, and families.
无创通气(NIV)是神经肌肉呼吸衰竭患者的标准治疗方法。接口将无创通气与有创通气区分开来。接口有多种样式和尺寸可供商业使用。现在有一些便携式呼吸机具有良好的漏气补偿功能和多种模式。尽管已经有很多关于接口和呼吸机技术方面的文章,但 NIV 的启动是一门艺术。选择合适的接口和呼吸机设置需要临床医生、患者和家属之间密切合作。