extubate patients to Bipap

Randomized studies have demonstrated that extubation immediately to NIV (termed “prophylactic NIV”) in patients at high risk for reintubation reduces the incidence of failed extubation and need for reintubation, especially in patients with known hypercapnia. Additional randomized trials have also demonstrated that NIV can rescue patients with hypercapnia who experience postextubation respiratory failure, even when prophylactic NIV was not used.123245

Footnotes

  1. SEEK Questionnaires ↩

  2. Keenan SP, Powers C, McCormack DG, et al. Noninvasive positive-pressure ventilation for postextubation respiratory distress: a randomized controlled trial. JAMA. 2002;287(24):3238-3244. PubMed ↩ ↩2

  3. Ferrer M, Valencia M, Nicolas JM, et al. Early noninvasive ventilation averts extubation failure in patients at risk: a randomized trial. Am J Respir Crit Care Med. 2006;173(2):164-170. PubMed ↩

  4. Nava S, Gregoretti C, Fanfulla F, et al. Noninvasive ventilation to prevent respiratory failure after extubation in high-risk patients. Crit Care Med. 2005;33(11):2465-2470. PubMed ↩

  5. Rochwerg B, Brochard L, Elliott MW, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017;50(2):1602426. PubMed ↩