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Yearbook of Intensive Care and Emergency Medicine 1997 pp 495–504Cite as

Non-Invasive Ventilation

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Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 1997))

Abstract

Mechanical ventilation through an endotracheal tube (ETT) is an accepted, life-saving procedure for patients with acute respiratory failure (ARF), after the failure of conventional treatments (O2 + drugs). However, the positioning of an ETT is an invasive procedure, that can be associated with the development of important complications, stress and discomfort, which may worsen the clinical condition of critically ill patients; moreover this situation of stress and discomfort often makes the administration of sedative agents necessary, with further clinical and psychological drawbacks. In more detail, the presence of a translaryngeal ETT can directly produce injuries at the contact point between the airway mucosa and the cuff of the ETT causing ulceration, inflammation and/or edema, and submucosal hemorrhage, that are the pathological “prelude” for life-threatening complications such as airway stenosis [1, 2]. Moreover, the presence of an ETT profoundly affects all the normal defense mechanisms against upper airway infection, probably increasing the risk of severe complications like nosocomial pneumonia, sinusitis, and ear infections.

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Authors
  1. G. Conti
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  2. M. Antonelli
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  3. A. Gasparetto
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Clinical Director) (Clinical Director)

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© 1997 Springer-Verlag Berlin Heidelberg

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Conti, G., Antonelli, M., Gasparetto, A. (1997). Non-Invasive Ventilation. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1997. Yearbook of Intensive Care and Emergency Medicine, vol 1997. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13450-4_41

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  • DOI: https://doi.org/10.1007/978-3-662-13450-4_41

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-13452-8

  • Online ISBN: 978-3-662-13450-4

  • eBook Packages: Springer Book Archive

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