Cardiothoracic Department, Respiratory and Critical care, Unit Bari Policlinic University Hospital, Bari, Italy.
Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, University of Bari 'Aldo Moro', Bari, Italy.
Expert Rev Respir Med. 2022 Aug;16(8):931-944. doi: 10.1080/17476348.2022.2121706. Epub 2022 Sep 23.
Research in the field of noninvasive ventilation (NIV) has contributed to the development of new NIV interfaces. However, interface tolerance plays a crucial role in determining the beneficial effects of NIV therapy.
This systematic review explores the most significant scientific research on NIV interfaces, with a focus on the potential impact that their design might have on treatment adherence and clinical outcomes. The rationale on the choice of the right interface among the wide variety of devices that are currently available is discussed here.
The paradigm 'The right mask for the right patient' seems to be difficult to achieve in real life. Ranging from acute to chronic settings, the gold standard should include the tailoring of NIV interfaces to patients' needs and preferences. However, such customization may be hampered by issues of economic nature. High production costs and the increasing demand represent consistent burdens and have to be considered when dealing with patient-tailored NIV interfaces. New research focusing on developing advanced and tailored NIV masks should be prioritized; indeed, interfaces should be designed according to the specific patient and clinical setting where they need to be used.
非侵入性通气（NIV）领域的研究促进了新型 NIV 接口的发展。然而，接口耐受性在确定 NIV 治疗的有益效果方面起着至关重要的作用。
本系统评价探讨了 NIV 接口的最重要科学研究，重点关注其设计可能对治疗依从性和临床结果产生的影响。这里讨论了在目前可用的各种设备中选择正确接口的理由。
“适合患者的面罩”这一理念在现实生活中似乎难以实现。从急性到慢性环境，金标准应包括根据患者的需求和偏好定制 NIV 接口。然而，这种定制可能会受到经济性质的问题的阻碍。高生产成本和不断增长的需求是持续的负担，在处理针对患者的 NIV 接口时必须考虑到这些问题。应优先重视开发先进和定制的 NIV 面罩的新研究；实际上，接口应根据需要使用的特定患者和临床环境进行设计。
