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Noninvasive Mechanical Ventilation in Elderly

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Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care

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Abstract

The demographic changes determined a significant increase in the percentage of adults who are very elderly and the proportion of their hospital admissions. In this group, the invasive mechanical ventilation (IMV) use decreased significantly even after adjustment for DNR (do not resuscitate) status. The noninvasive ventilation (NIV) use in the elderly represents a shift in managing acute respiratory failure. The NIV should be used with the correct indications. In choosing the setting, the physicians should take into account the safety of patients.

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Abbreviations

ARF:

Acute respiratory failure

DNI:

Do not intubate

DNR:

Do not resuscitate

ECCO2R:

Extracorporeal CO2 removal

FOB:

Flexible bronchoscopy

HFCWO:

High-frequency chest wall oscillation

HFNC:

Figh-flow nasal cannula

ICU:

Intensive care unit

IMV:

Invasive mechanical ventilation

NIV:

Noninvasive ventilation

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Author information

Authors and Affiliations

  1. Medicine Department, Geriatric and Intensive Geriatric Cares, San Giuseppe Moscati Hospital, Avellino, Italy

    Nicola Vargas

  2. Medicine Department, San Giuseppe Moscati Hospital, Aversa, Italy

    Loredana Tibullo

Authors
  1. Nicola Vargas
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  2. Loredana Tibullo
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Editor information

Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Spain

    Antonio M. Esquinas

  2. Department of Pathophysiology and Pulmonary Rehab, Azienda Ospedaliera dei Colli PO Monaldi, Napoli, Italy

    Giuseppe Fiorentino

  3. Innovative Technologies for the Study of Sleep Breathing Disorders, Institute for Biomedical Research and Innovation (IRIB), Italian National Research Council, Palermo, Italy

    Giuseppe Insalaco

  4. Department of Pulmonary and CC Medicine, Lenox Hill Hospital, New York, NY, USA

    Bushra Mina

  5. Department of Respiratory and CC Medicine, First Affiliated Hospital of Chongqing M, Chongqing, China

    Jun Duan

  6. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Maria Cristina Mondardini

  7. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Fabio Caramelli

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Vargas, N., Tibullo, L. (2020). Noninvasive Mechanical Ventilation in Elderly. In: Esquinas, A.M., et al. Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-42998-0_17

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  • DOI: https://doi.org/10.1007/978-3-030-42998-0_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42997-3

  • Online ISBN: 978-3-030-42998-0

  • eBook Packages: MedicineMedicine (R0)

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