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How to avoid interface problems in acute noninvasive ventilation

Anne-Kathrin Brill
Breathe 2014 10: 230-242; DOI: 10.1183/20734735.003414
Anne-Kathrin Brill
Dept of Sleep and Ventilation, Royal Brompton and Harefield NHS Foundation Trust, London, UK
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Abstract

Summary Noninvasive ventilation (NIV) applied via different interfaces is increasingly used in the treatment of acute respiratory failure. One of the key factors determining the success of NIV is the choice of interface. Interface selection, fitting and handling can be challenging as NIV application can be complicated by discomfort, air leaks, skin damage or conjunctivitis. The aim of this article is to provide practical information on interface choice, technical aspects of mask fitting and prevention of mask-related problems during the acute delivery of NIV.

Educational aims

  • To help the reader to recognise the different features of interfaces and to discuss common interface-related problems

  • To provide practical recommendations to facilitate the choice and application of interfaces in order to reduce complications

Footnotes

  • Statement of Interest

    None declared.

  • ©ERS 2014

Breathe articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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How to avoid interface problems in acute noninvasive ventilation
Anne-Kathrin Brill
Breathe Sep 2014, 10 (3) 230-242; DOI: 10.1183/20734735.003414

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How to avoid interface problems in acute noninvasive ventilation
Anne-Kathrin Brill
Breathe Sep 2014, 10 (3) 230-242; DOI: 10.1183/20734735.003414
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  • Article
    • Abstract
    • Interface selection
    • Carbon dioxide rebreathing: dead space and ventilator circuits
    • Initiation of NIV
    • Prevention and management of mask-related side-effects
    • Sedation
    • Acute-on-chronic respiratory failure
    • Feeding tubes, beards and other problems
    • Droplet generation and airborne disease
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Subjects

  • Pulmonary pharmacology and therapeutics
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