Non-invasive and invasive ventilator ventilator differences and relations

Clinical application of mechanical ventilation with new theories and new technologies, the results of numerous studies EBM constantly rewriting the concept of clinical staff, so we need to update the view, the idea of ​​understanding non-invasive, invasive positive pressure ventilation in the treatment of respiratory failure of this traditional and new topics.

Clinical application of positive pressure ventilation, including non-invasive and invasive ventilation section. Noninvasive positive pressure (Noninvasivepositivepressureventilation, NPPV) refers to the need to create artificial airway positive pressure ventilation mode, the clinical application of multi-nose and mouth mask or nasal mask positive pressure ventilation, in addition there is also a full-face, stuffy nose and other ways NPPV therapy . Invasive positive pressure ventilation (Invasivemechanicalventilation, IMV) refers to positive pressure ventilation mode through the establishment of artificial airway (nasal or intubation, tracheotomy) performed. Non-invasive ventilation and invasive ventilation, compared with a simple setting, patients are easy to accept, is not easy to secondary lung injury and pulmonary infection and other characteristics, but it was also synchronous machines is poor, unstable tidal volume, is not conducive to the airway secretion drainage and other shortcomings.



Prospects:
Although there noninvasive and invasive mechanical ventilation has some differences, but we should look at both the two important means of clinical treatment of respiratory failure or mechanical ventilation mode is a disease at different stages, and therefore non-invasive and invasive ventilation between closely linked. As AECOPD (chronic obstructive pulmonary disease) can be applied NPPV in patients with early treatment, if further aggravate the condition can be IMV treatment, the condition can be alleviated once early extubation continue NPPV therapy to avoid complications of invasive mechanical ventilation. Clinically often this is the case, ICU doctors re-invasive ventilation and neglect non-invasive ventilation , respiratory part of doctors and too much emphasis on the importance of non-invasive ventilation; and domestic and foreign literature are mostly the non-invasive and invasive ventilation separate elaborate, this will inevitably lead to artificially separate the two. It is gratifying to many scholars at home and abroad in recent years, more and more emphasis on non-invasive and invasive mechanical ventilation of the close relationship between the two is bound to the correct application of more patients with respiratory failure to bring the Gospel.

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