The NIV community for respiratory professionals

What is Noninvasive ventilation?

Noninvasive Ventilation (NIV) or Noninvasive Positive Pressure ventilation (NPPV) is ventilator support that is not invasive, thus no endotracheal tube or tracheostomy tube is needed to ventilate the patient. NIV has become an increasingly integral tool in the management of acute and chronic respiratory failure, both in the hospital and at home.

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Patient-Ventilator Synchrony with NIV – What, Why and how to deal with it?


Speaker: Nicholas Hill, M.D. Professor of Medicine, Pulmonary, Critical Care & Sleep Division, Tufts – New England Medical Center


Learn the types of asynchrony that occur during NIV, how to identify them, and strategies for dealing with them.



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How can you reduce HAPUs when using NIV?


Featuring Thomas Joseph Cahill, MS, RRT-NPS, FAARC


Learn how implementing a strategy for mask-related HAPUs can help reduce patient harm and lower risk for your hospital.



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When to use NIV?

NIV in acute respiratory failure

Despite its proven benefits to improve mortality, address patient discomfort, and reduce costs, NIV for acute respiratory failure is still underutilized at many hospitals.


It is rare for a medical technology to simultaneously improve mortality, address patient discomfort, and reduce costs.


Non-invasive positive pressure ventilation (NPPV) or NIV achieves this unusual health services “hat trick”. Unfortunately, noninvasive ventilation appears to be underutilized at many hospitals.


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Where to use NIV?

In the ICU

With its monitoring facilities, 24 hour staff availability, and trained care givers, the ICU provides the setting for successful NIV. In the ICU, there is much interest in NIV to prevent intubation and ventilator-associated pneumonia.


Most study settings around the benefits of Noninvasive Positive Pressure ventilation have been performed on the ICU or a high acuity setting. The ICU with its monitoring capabilities, 24 hour staff availability, trained care givers as well as the possibility for quick intubation in case of NIV failure offer without any doubt a good setting for successful NIV.


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How to be successful in Noninvasive ventilation?

Setting up a successful program

Following the 7-step NIV program increases NIV performance and improves patient outcomes.


There are many good reasons to consider the use of NIV in the hospitals as it is one of the rare medical technologies that both improves patient outcomes and reduces treatment costs. Still, NIV is underutilized.


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Despite its proven benefits to improve patient comfort and reduce mortality and also costs, noninvasive ventilation (NIV) is still underutilized at many hospitals. This website is designed to promote the usage of NIV by sharing the many situations in which NIV improves patients’ outcomes as well as to inform about the factors which are important in order to perform successful NIV.

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