Turkish Journal of Anaesthesiology & Reanimation
REVIEW

Non-Invasive Mechanical Ventilation in Critically Ill Trauma Patients: A Systematic Review

1.

Fondazione Salvatore Maugeri, IRCCS, Respiratory Intensive Care Unit and Pulmonary Rehabilitation Unit, Pavia, Italy

2.

Ankara Dışkapı Yıldırım Beyazıt Research and Education Hospital, Intensive Care Unit, Ankara, Turkey

3.

Ospedale Mauriziano, Department of Respiratory Medicine, Turin Italy

4.

Allergologia e Fisiopatologia Respiratoria, ASO S. Croce e Carle Cuneo, Cuneo, Italy

5.

Hospital Morales Meseguer, Intensive Care Unit, Murcia, Spain

6.

Department of Anaesthesiology and Reanimation, Intensive Care Unit, Çukurova University School of Medicine, Adana, Turkey

7.

University of Rochester, Department of Anesthesiology, Critical Care Medicine, Rochester, New York, USA

8.

University of Rochester, Department of Anesthesiology, Surgery and Neurosurgery, Critical Care Medicine, Rochester, New York, USA

9.

Emergency Medicine Department, Gruppo NIV, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy

10.

Department of Anaesthesiology and Reanimation, Intensive Care Unit, İstanbul University, Cerrahpaşa School of Medicine, İstanbul, Turkey

Turk J Anaesthesiol Reanim 2018; 46: 88-95
DOI: 10.5152/TJAR.2018.46762
Read: 671 Downloads: 287 Published: 19 September 2019

There is limited literature on non-invasive mechanical ventilation (NIMV) in patients with polytrauma-related acute respiratory failure (ARF). Despite an increasing worldwide application, there is still scarce evidence of significant NIMV benefits in this specific setting, and no clear recommendations are provided. We performed a systematic review, and a search of clinical databases including MEDLINE and EMBASE was conducted from the beginning of 1990 until today. Although the benefits in reducing the intubation rate, morbidity and mortality are unclear, NIMV may be useful and does not appear to be associated with harm when applied in properly selected patients with moderate ARF at an earlier stage of injury by experienced teams and in appropriate settings under strict monitoring. In the presence of these criteria, NIMV is worth attempting, but only if endotracheal intubation is promptly available because non-responders to NIMV are burdened by an increased mortality when intubation is delayed.

 

Cite this article as: Schreiber A, Yıldırım F, Ferrari G, Antonelli A, Delis PB, Gündüz M, et al. Non-Invasive Mechanical Ventilation in Critically Ill Trauma Patients: A Systematic Review. Turk J Anaesthesiol Reanim 2018; 46: 88-95.

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