Non‐Invasive positive Pressure Ventilation (NIPPV)

Abstract

This review of literature discusses the use of non invasive ventilation. The term NIV refers to the application of artificial ventilation without any conduit access to the airway i.e without an endotracheal or tracheostomy tube. It has been shown to be very effective in the management of acute respiratory failure as in case of acute exacerbation of COPD and also in cardiogenic pulmonary edema as well as long term therapy in case of chronic respiratory failure e.g chronic COPD and respiratory muscles affection like posttraumatic paralysis of respiratory muscle (cervical injury) or myasthenia gravis. It can be also used as a supportive step in the post extubation period. NIV can be applied at the hospital where different forms of ventilators are available as well as at home (domiciliary) where a special and portable ventilator can be available as a part of management of some patients like chronic COPD and Obstrsructive Sleep Apnea syndrome (OSP)