Treatment
Chest Trauma
➤ We suggest NIV for chest trauma patients with ARF. (conditional
recommendation, moderate certainty of evidence)
Pandemic Viral Illness
➤ Given the uncertainty of evidence we are unable to offer a
recommendation for the use of NIV in ARF due to pandemic viral illness.
Following Extubation
➤ We suggest that NIV be used to prevent post-extubation respiratory
failure in high-risk patients post-extubation. (conditional
recommendation, low certainty of evidence)
Remark: Patients with unplanned extubation are a higher risk group, and further studies
are needed to address the use of NIV in this group.
➤ We suggest that NIV should NOT be used to prevent post-extubation
respiratory failure in non-high-risk patients. (conditional recommendation,
very low certainty of evidence)
➤ We suggest that NIV should NOT be used in the treatment of patients
with established post-extubation respiratory failure. (conditional
recommendation, low certainty of evidence)
Remark: This recommendation may not apply to post-extubation CHF or COPD patients
with respiratory failure; further studies are needed.
Weaning
➤ We suggest NIV be used to facilitate weaning from mechanical
ventilation in patients with hypercapnic respiratory failure.
(conditional recommendation, moderate certainty of evidence)
➤ We do not make any recommendation for hypoxemic patients.
