NIV in

post-operative

patients

NIV can be used to prevent acute respiratory failure, treat acute respiratory failure, and avoid re-intubation in post-operative patients.

 

NIV is used in post-operative patients to achieve two potential goals. The first is to prevent acute respiratory failure whereas the second objective is to treat acute respiratory failure and avoid re-intubation.¹

 

In an article evaluating NIV post-operatively, it is stated that postoperative hypoxemia and/or acute respiratory failure (ARF) mainly develop after abdominal and/or thoracic surgery. Anesthesia, postoperative pain, and surgery will induce respiratory modification which causes the problem. The clinical result is the product of perioperative-related ventilatory impairment and severity of preoperative pulmonary condition. Therefore, the main objectives for anesthesiologists are to first prevent the occurrence of operative complications, and second to ensure oxygen administration and CO2 removal while avoiding intubation if ARF occurs.¹

 

In an article in Respitory Care Journal (RCJ) published in 2012, NIV is discussed as a mean to reduce the need for invasive mechanical ventilation and improve clinical outcomes in patients with ARF after lung resection, avoiding the complications related to intubation. It is stated that ARDS remains a lethal complication after major lung resections as the reported mortality rate ranges from 50 to 100 percent, with an increased incidence and mortality rates in pneumonectomy patients. The case reported in the article involved a patient with early acute respiratory distress syndrome (ARDS) after a left-sided pneumonectomy who was successfully treated with NIV.²

 

Chiumiello et al. reviewed the use of NIV in the perioperative environment where it is mainly used for cardiogenic pulmonary edema, decompensated COPD and hypoxemic pulmonary failure. They concluded that NIV could be considered a prophylactic and therapeutic tool to improve gas exchange in postoperative patients.³

Sign up

 

Receive updates about NIV's proven benefits for patient outcomes.

 

Sign up

Video

 

Hear Prof. Nava talk about how NIV is used in post-operative patients

niv-in-post-operative-patients

Related articles

copd

NIV in treating exacerbations of COPD

 

Strong evidence supports that NIV reduces intubation rate and mortality in patients with pulmonary edema from heart failure. Patients in ARF due to congestive heart failure are the second group of patients for which there is strong evidence to support the application of noninvasive ventilation. There are multiple randomized, controlled studies showing that NIV reduces...

 

Read more

extubation

NIV in the post-extubation period


NIV is used post-extubation period to reduce the length of invasive ventilation and prevent extubation failure. NIV can also play a role after invasive mechanical ventilation in the post-extubation periods. The main reasons to use NIV after extubations are to reduce the length of invasive ventilation and to prevent extubation failure. However, NIV can also...

 

Read more

pulmonary-edema

NIV in treating pulmonary edema

 

Strong evidence supports that NIV reduces intubation rate and mortality in patients with pulmonary edema from heart failure. Patients in ARF due to congestive heart failure are the second group of patients for which there is strong evidence to support the application of noninvasive ventilation. There are multiple randomized, controlled studies showing that NIV reduces...

 

Read more

thin-stripe-line-mk4

thinkNIV

 

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.

Copyright 2013. All Right Reserved