Why Doctors Should Recommend Non-Invasive Ventilation?

The main purpose of a Non-invasive ventilator (NIV) is to support the patient’s breathing that does not involve tracheotomy or intubation. It provides effective therapy with reduced chances of infection and a higher survival rate in patients having respiratory failure. NIV protects the patient by improving alveolar minute ventilation, delivering the right expiratory and inspiratory pressures or tidal volumes for individual ventilation demand. We will be discussing a few more benefits that will help the readers to understand better why one should opt for NIV.

Less expensive than invasive ventilation

The availability of NIV helps in preventing intubation in a specific group of patients who needs less medical resources and nursing when staying in the hospital. Typically, the cost of NIV equipment is more or less the same as invasive ventilation. It is the same humidified circuit and the same ventilator. Reusable masks are not affordable than single-use masks if you are considering the sterilization costs. Reduced costs for hospital inpatients are due to a few personnel as one need not have to be an airway expert or a dedicated nurse for every patient or physiotherapy staff. That leads to fewer rooms for the Intensive Care Unit, per life saved with Non-Invasive Ventilator ( ).

Delivery of properly controlled airway pressure and oxygen concentration

The main credit to NIV success in managing respiratory failure is the capability of delivering a controllable amount of oxygen. Until the tight mask is strapped on, the patient suffering from hypoxia is provided with numerous variable-performance oxygen delivery devices. They start clawing at the non-rebreather bag, ventilating their cheek with misplaced nasal prongs and taking rapid breaths in excess. Only by using a tightly sealed interface, the patient gets the oxygen concentration that the doctor has prescribed. Similarly, the NIV mask is tight-fitted equipment that helps in sealing the airway with the ventilator circuit and pressure is applied and also using HFNP but without depending on nostril diameter and mouth opening. Generally, when a pressure level with NIV described by the doctor, the health personnel need not have to attend the patient with the expectation the ventilator will be delivering the required amount of pressure or sound an alarm if it is unable to provide the desired pressure.

Switching from invasive mechanical ventilation and various conditions treated with NIV

Shifting from using an artificial airway to having your own airway is not easy for every patient. At times, re-intubation takes place due to poor tolerance of standard oxygen therapy. In these types of situations, a non-invasive ventilator becomes very useful and scientists recommend that non-invasive ventilation ( ) act as the bridge to normal respiration thereby prevents re-intubation in some patient groups.

A patient may have breathing problems and require a ventilator for breathing due to various medical conditions such as chest wall disorders, neuromuscular disease (NMD), obesity hypoventilation syndrome (OHS), chronic obstructive pulmonary disease (COPD) with bronchitis and emphysema as well as breathing problems due to spinal injury. With the availability of ventilation, the patient can again able to breathe normally. 

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