Comparative Study between Invasive and Non-invasive Mechanical Ventilation in Management of Patients With Mild Acute Respiratory Distress Syndrome

Abstract

Acute respiratory distress syndrome (ARDS) is a major cause of acute respiratory failure and it is associated with high mortality and morbidity. A range of physical methods for the general treatment of respiratory diseases is available. Among these methods, noninvasive ventilation (NIV) is a widely accepted treatment that has been used for diseases such chronic obstructive pulmonary disease exacerbation and cardiogenic pulmonary edema for more than 2 decades. The advantages of NIV include no requirement for endotracheal intubation, which lowers the risk of ventilator-associated pneumonia, a shorter intensive care unit (ICU) length of stay, and decreased hospitalization costs. Several studies were performed to compare between using invasive and non-invasive mechanical ventilation in management of patients with ARDS. the overall conclusion can be that using invasive mechanical ventilation is the standard method of management of ARDS, however, using NIV is still controversial and benefits of its use is still a matter of debate especially in severe cases.