Extubating to Noninvasive Ventilation: Noninvasive Ventilation from Intensive Care Unit to Home

Ashima S. Sahni*, Lien Khuong Tran, Lisa Wolfe

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Weaning to noninvasive ventilation in intensive care unit and bridging the patients to home with respiratory support is evolving as the technology of noninvasive ventilation is improving. In patients with chronic obstructive pulmonary disease exacerbation, timing of initiation of noninvasive ventilation is the key, as persistently hypercapnic patients show benefits. High-intensity pressure support seems to do better in comparison to low-intensity pressure support. In patients with obesity and hypercapnia, obesity hypoventilation cannot be ruled out especially in an inpatient setting, and it is crucial that these patients are discharged with noninvasive ventilation.

Original languageEnglish (US)
Pages (from-to)581-592
Number of pages12
JournalSleep Medicine Clinics
Volume15
Issue number4
DOIs
StatePublished - Dec 2020

Keywords

  • Acute respiratory failure
  • Home respiratory care
  • Hypercapnia
  • Noninvasive ventilation
  • Weaning

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Clinical Neurology
  • Psychiatry and Mental health

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