Simonds A K
Department of Respiratory Medicine, Royal Brompton Hospital, London, UK.
Postgrad Med J. 1998 Jun;74(872):343-6. doi: 10.1136/pgmj.74.872.343.
Nasal intermittent positive pressure ventilation is likely to have an increasing role in the management of acute ventilatory failure, weaning, and chronic ventilatory problems. Further improvements in ventilator and mask design will be seen. Appropriate application is likely to reduce both mortality and admissions to intensive care, while domiciliary use can improve life expectancy and/or quality of life in chronic ventilatory disorders. As with any new technique, enthusiasm should not outweigh clear outcome information, and possible new indications should always be subject to careful assessment.
鼻间歇正压通气在急性通气衰竭、撤机及慢性通气问题的管理中可能会发挥越来越重要的作用。呼吸机和面罩设计将有进一步改进。合理应用可能会降低死亡率和重症监护病房的收治率，而家庭使用可提高慢性通气障碍患者的预期寿命和/或生活质量。与任何新技术一样，不应让热情超过明确的结果信息，对于可能的新适应证应始终进行仔细评估。
