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Year : 2018  |  Volume : 31  |  Issue : 4  |  Page : 1116-1120

Noninvasive ventilation as a method of weaning from mechanical ventilation

1 Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Critical Care, Ministry of Health, Giza, Egypt

Correspondence Address:
Mohammed A Rahman
El Shikh Ragheb Street, Qutour City, Gharbeya Governorate
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_334_17

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Objective The aim of this study was to evaluate the adequacy of noninvasive ventilation (NIV) as a technique of weaning from mechanical ventilation. Materials and methods Medline databases (PubMed, Medscape, and ScienceDirect), all materials accessible on the Internet from the beginning date of every database to 2016. The initial investigation exhibited 43 articles, of which, nine met the incorporation criteria. The articles concentrated on the viability of NIV as a technique of liberation from mechanical ventilation. In light of heterogeneity in the gathered information, it had been impractical to perform meta-investigation. Noteworthy information had been gathered; accordingly an organized audit had been performed. Results NIV observed to be successful in encouraging weaning in cases fit to be freed from mechanical ventilation, but failed an unrestrained breathing trial. Likewise, when utilized as a measure to avoid respiratory failure after removal of the endotracheal tube in high-hazard cases, it had benefits as far as mortality and reintubation rates that had not accomplished if NIV had been utilized as a treatment for postextubation respiratory failure. Conclusion We talk about the adequacy of NIV as a liberation strategy from mechanical ventilation, its utilization to encourage weaning, prohibit, or treat postextubation respiratory failure.

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