Lookup NU author(s): Professor Stephen Bourke
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© 2018 Elsevier Ltd Non-invasive ventilation is standard therapy in the management of both hypoxaemic and hypercapnic respiratory failure of various causes. The evidence base for its use and when and how it should be used has been reviewed in two recent guidelines. In this Series paper, we look beyond the guidelines to what is happening in everyday clinical practice in the real world, how patient selection can be refined to maximise the chances of a successful outcome, and emerging alternative therapies. Real-world application of non-invasive ventilation diverges from guideline recommendations, particularly with regard to patient selection and timing of initiation. To improve patient outcomes education programmes need to stress these issues and the effectiveness of non-invasive ventilation that is delivered needs to be monitored by regular audit.
Author(s): Bourke SC, Piraino T, Pisani L, Brochard L, Elliott MW
Publication type: Review
Publication status: Published
Journal: The Lancet Respiratory Medicine
Online publication date: 23/11/2018
Acceptance date: 02/04/2018
ISSN (print): 2213-2600
ISSN (electronic): 2213-2619
Publisher: Lancet Publishing Group