In the April issue of American Nurse Today, Mark Bauman, MS, RN, CCRN, senior clinical nurse in the Select Trauma ICU at the R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center in Baltimore, describes the use, indications, and nursing care related to NPPV in a 1.8 contact hours continuing education program “Noninvasive ventilation makes a comeback.”
NPPV was commonly used in the early 20th century, with the “iron lung” for treating patients with postpolio syndrome the most well known use. By the 1960s, mechanical ventilation became the norm, but now clinicians are turning to NPPV as an alternative to mechanical ventilation.
In his article, Bauman notes the benefits of NPPV, writing, “In carefully chosen candidates with respiratory failure, it provides ventilatory assistance without the complications that have been linked to artificial airways, such as ventilator-associated pneumonia (VAP), airway injury, sinusitis, increased need for sedatives or paralytics (or both), altered communication, and decreased ability to perform activities of daily living.”
Patients with progressive respiratory failure over time and some respiratory reserve are the typical candidates for NPPV, including those with severe chronic obstructive pulmonary disease (COPD).
“Preventing or reducing ventilator-associated pneumonia is a national safety initiative,” says Pamela Cipriano, PhD, RN, FAAN, NEA-BC, Editor-in-Chief of American Nurse Today. “Mark shows how NPPV can reduce the risk of VAP, and gives nurses what they need to know to care for patients receiving this form of therapy.”
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