Monitoring During NIV
The minimum monitoring is that appropriate for the severity of the patient’s condition, taking into account that clinical conditions can change rapidly. It does not, therefore, make sense to have invasive hemodynamic monitoring available when we are treating a simple, early stage of an exacerbation of COPD, just as it would be unthinkable to use NIV in a patient with pneumonia and severe hypoxia with only pulse oximetry available. It would obviously be desirable to work in a structure that has an integrated system of non invasive and invasive monitoring in order not to have to transfer the patient to another structure if his condition worsens. Outside intensive care units, this is possible only in third level respiratory intensive care units.
KeywordsTidal Volume Simplified Acute Physiological Score Inspiratory Effort Maximum Inspiratory Pressure Systemic Arterial Blood Pressure
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