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Noninvasive ventilation (NIV) is recommended in severe pneumonia associated with chronic obstructive pulmonary disease because it shortens intensive care unit stay and reduces intubation and mortality rates. A meta-analysis of the use of NIV before intubation in pneumonia improved respiratory failure mortality and intubation rates, which may consider the use of NIV in future treatment guidelines for pneumonia. Conversely, NIV is inappropriate for some cases, and special attention should be paid to the condition that hypoxemia does not improve even 1 hour after NIV initiation, and the sputum cannot be discharged due to pneumonia or bronchitis. NIV is applicable for heart failure. Additionally, the use of NIV for pneumonia without chronic obstructive pulmonary disease as the underlying disease has no consensus. However, NIV can be initiated first, regardless of heart failure, pneumonia, or both, according to the results of meta-analyses.

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Noninvasive Ventilation Approach in Specific Cardiac Disorders: Heart Failure–Pneumonia

  • 章节

  • 发表日期：

    2025年

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  • Yoshinori Matsuoka,
  • Kei Kurihara,
  • Yoshitaka Nishiyama,
  • Takuma Sakai

摘要

Noninvasive ventilation (NIV) is recommended in severe pneumonia associated with chronic obstructive pulmonary disease because it shortens intensive care unit stay and reduces intubation and mortality rates. A meta-analysis of the use of NIV before intubation in pneumonia improved respiratory failure mortality and intubation rates, which may consider the use of NIV in future treatment guidelines for pneumonia. Conversely, NIV is inappropriate for some cases, and special attention should be paid to the condition that hypoxemia does not improve even 1 hour after NIV initiation, and the sputum cannot be discharged due to pneumonia or bronchitis. NIV is applicable for heart failure. Additionally, the use of NIV for pneumonia without chronic obstructive pulmonary disease as the underlying disease has no consensus. However, NIV can be initiated first, regardless of heart failure, pneumonia, or both, according to the results of meta-analyses.