Non-invasive Ventilation in the ED: Whom, When, How?

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Timely use of NIV in the ED may decrease the need for invasive ventilation and its associated complications. The appropriate device, interface and patient selection are, therefore, key components of NIV success. Once the decision is given to apply NIV, EP should decide on the mode (either CPAP or BPAP), the interface, and the circuit that is suitable for the ventilator. Continuous positive airway pressure (CPAP) is used mainly for patients with hypoxemic respiratory failure; therefore, patients with acute cardiogenic pulmonary edema may be suitable candidates.

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