| Non-invasive positive pressure ventilation in acute respiratory failure: providing competent care. | |
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MedLine Citation:
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PMID: 16948204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Non-invasive positive pressure ventilation (NPPV) has been used as an alternative strategy to provide ventilatory support for patients with acute respiratory failure. Most studies demonstrate that the use of NPPV in acute respiratory failure results in a reduction in the need for endotracheal intubation and an overall survival advantage. However, current evidence, in the form of randomised controlled trials, suggests that these benefits may be restricted to patients suffering from acute exacerbation of chronic obstructive pulmonary disease (COPD). The clinical application of NPPV involves the development of competence in delivering the particular intervention. Clinical outcomes and thus valid comparisons with alternate methods of ventilatory support can only be made if attention is paid to the clinical indications for the application of NPPV and patient subgroups it is used to treat and the level of competence of care givers in its application and delivery. One essential element of competence is the establishment of an appropriate knowledge base and the development of clinical practice guidelines. This literature review identifies the current indications for NPPV and the relevant information for developing clinical practice guidelines for the management of this form of ventilatory support. |
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Authors:
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R P Ho; M Boyle |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses Volume: 13 ISSN: 1036-7314 ISO Abbreviation: Aust Crit Care Publication Date: 2000 Nov |
Date Detail:
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Created Date: 2006-09-04 Completed Date: 2006-09-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9207852 Medline TA: Aust Crit Care Country: Australia |
Other Details:
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Languages: eng Pagination: 135-7, 139-43 Citation Subset: N |
Affiliation:
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Concord Repatriation General Hospital, Sydney. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Clinical Competence / standards* Critical Care / methods*, standards Evidence-Based Medicine Health Services Needs and Demand Humans Intubation, Intratracheal Knowledge Bases Masks Nurse's Role Nursing Assessment Nursing Evaluation Research Patient Selection Positive-Pressure Respiration / instrumentation, methods*, nursing Practice Guidelines as Topic Prospective Studies Pulmonary Disease, Chronic Obstructive / complications Randomized Controlled Trials as Topic Respiratory Insufficiency / etiology, mortality, therapy* Survival Rate Technology Assessment, Biomedical Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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