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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229
EISSN: 1998-359x
Vol. 11, No. 1, 2007, pp. 25-28
Bioline Code: cm07005
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Critical Care Medicine, Vol. 11, No. 1, 2007, pp. 25-28

 en The role of noninvasive ventilation in cancer patients with acute respiratory failure
Nagarkar, Shruti

Abstract

The poor prognosis of ventilated patients with cancers, especially hematological malignancies, has been a major incentive in the use non-invasive ventilation in such patients. With experience of more than a decade, a few recommendations can be made. While experience in non invasive ventilation is of prime importance, it is the early use especially in conditions requiring supplemental oxygen and a drop in SaO 2 of > 10% that the most benefit is expected. Use of the helmet to provide noninvasive ventilation (NIV) may improve patient compliance. With appropriate use during diagnostic bronchoscopy, NIV may prevent endotracheal intubation. NIV has also been shown to provide relief from dyspnoea to a select group of do-not-intubate patients. While outcome in this group of patients is poor, appropriate use of NIV has been shown to reduce mortality. The coming years and more experience will improve our understanding and refine the use of this modality in this critical condition.

Keywords
Non-invasive ventilation, NIV, NIPPV, cancer, hematological cancers, acute respiratory failure

 
© Copyright 2007 Indian Journal of Critical Care Medicine.
Alternative site location: http://www.ijccm.org/

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