Successful NIV needs dedication and a competent program.
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.¹
Despite the proven benefits, there are barriers towards the use of NIV leading to the fact that NIV isn’t used to its full potential. Successful NIV needs a true program.
In order to perform successful NIV, the following points should be considered and should be part of the NIV program:²
Clinical Champion – An early adopter and regular and enthusiastic user of NIV. The champion should become an ambassador for the technology. Ideally the person is well respected by peers and know the way around in the hospital organization.
Training – Training is key to successful NIV. The fact that NIV is underutilized is often linked to the last of clinician knowledge in that field.² Also product and application knowledge is important, which can be both theoretical and hands-on training. See more under Training & Education.
Adequate Personnel – initiating a successful NIV program needs additional resources.
Guidelines and Protocols – Help to create a link between evidence and practice. Often based on best practice, a certain standard can be implemented leading to improved uniformity of care. They also help to reduce errors by guiding the care giver.
Realistic expectations – It is important to note that NIV does not avoid intubation in all cases. A NIV failure rate of 20-40% has to be expected based on current clinical evidence.⁴
Experience – Only practice of NIV will lead to the needed experience to perform successful NIV.