Expanding the Use of Noninvasive Ventilation During an Epidemic
Autor: | Maja Tomić Paradžik, Jasminka Kopić |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
Infectious Disease Transmission Patient-to-Professional epidemics law.invention Disease Outbreaks Concepts in Disaster Medicine law Intensive care respiratory insufficiency Medicine Infection control Humans Intensive care medicine intensive care Cross Infection Noninvasive Ventilation business.industry Transmission (medicine) Public Health Environmental and Occupational Health infection control noninvasive ventilation Intensive care unit Respiratory failure Breathing Noninvasive ventilation business Public health preparedness |
Zdroj: | Disaster Medicine and Public Health Preparedness |
ISSN: | 1938-744X 1935-7893 |
Popis: | Noninvasive ventilation (NIV) is a proved and effective therapeutic option for some patients with respiratory failure. During an epidemic, NIV can free up respirators and other intensive care unit equipment for patients with respiratory insufficiency whose survival depends exclusively on invasive ventilation. Some guidelines have indicated that NIV is potentially hazardous and should not be recommended for use during epidemics, given the perceived potential risk of transmission from aerosolized pathogen dispersion to other patients or medical staff. Conversely, some reports of previous epidemics describe NIV as a very efficient and safe modality of respiratory support, if strict infection control measures are implemented.We discuss NIV use during epidemics and indicate the need for prospective randomized clinical studies on the efficacy of NIV in epidemic conditions to provide important information to the current body of literature. Meanwhile, the use of NIV under strict infection control guidelines should be incorporated into epidemic preparedness planning. (Disaster Med Public Health Preparedness. 2014;8:1-5) |
Databáze: | OpenAIRE |
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