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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Latest articles on noninvasive ventilation

  • NIV Post-extubation

    Noninvasive ventilation 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...

  • NIV Outside the ICU

    For certain ARF indications NIV can be used in non-acute settings to relieve pressure on the ICU (Intensive Care Unit). Although it is more commonly used in ICU and high acuity care areas, NIV also has the potential to be used outside the ICU setting. One reason to consider the use of NIV in sub-acute settings is that...

  • The right NIV interfaces

    When first starting a NIV program, it is recommended to try some of the many different masks and interfaces available to make the right choice. Up to 50 percent of Noninvasive Positive Pressure ventilation failures are related to the mask. That is why interfaces or masks should be considered an important factor for any successful NIV program. There is...

patient with a noninvasive ventilation interface

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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Noninvasive ventilation in the ICU

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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respiratory professionals discussing noninvasive positive pressure ventilation

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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