Contraindications and complications of the use of non-invasive ventilation in the Emergency Department: Literature Review
DOI:
https://doi.org/10.54143/jbmede.v2i1.66Keywords:
Emergency, Non-Invasive Ventilation, NIV, Complications, ContraindicationsAbstract
Introduction: A NIV consists of pressurizing like airways using an external patient-ventilator interface. Understanding that NIV is an important ventilatory support strategy, it becomes relevant to identify possible contraindications and complications of this technique. The objeticve of this study is to carry out a literature review, selecting works that address as contraindications and complications of NIV in the Emergency Department.
Method: Scientific articles published in the last 10 years were selected, using national and international sources, with the following search strategy: (NIV OR non-invasive OR non-invasive OR artificial) AND (ventilation OR breathing OR breathing) AND positive AND pressure AND emergency AND (contraindication OR complication), in English and Portuguese.
Results: 22 articles were responded to the search strategy. Of these, 13 were eliminated, restoring 9 articles for review.
Conclusions: A NIV can lead to a cardiovascular system collapse when not performed. Patients with altered mental status are considered contraindicated to NIV and it is recommended that it not be performed in patients with Glasgow Coma Scale less than 10.34. Other problems related to NIV are reduced salivation, air leakage, lack of synchronization between the patient and the artificial ventilation device, pressure ulcer training related to the respiratory interface itself, as well as gastric discomfort and distension.
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