Practice guidelines can help implement a successful NIV program by changing clinical care practice leading to increased usage of NIV.
Clinical practice guidelines are designed to change practitioner performance and to improve the process and outcomes of care.
In 2006 Sinuff at al. published an evaluation of a practice guideline for NIV. They found that after the introduction of a practice guideline for the use of NIV in ARF patients, clinical care practice did change and more patients were treated with NIV in the ICU. There was improved cardiopulmonary monitoring and also the pulmonary service was consulted more frequently. However, neither the intubation rates nor mortality rates were significantly decreased. There was only a noticeable trend towards less intubation in patients with CHF treated with NIV.¹
Do you have NIV guidelines implemented in your hospital?