Abstract | BACKGROUND: METHODS: We conducted a survey among leading experts on NIV aiming to 1) identify a selection of 10 important articles on NIV in the critical care setting 2) summarize the reasons for the selection of each study 3) offer insights on the future for both clinical application and research on NIV. RESULTS: The experts selected articles over a span of 26 years, more clustered in the last 15 years. The most voted article studied the role of NIV in acute exacerbation chronic pulmonary disease. Concerning the future of clinical applications for and research on NIV, most of the experts forecast the development of innovative new interfaces more adaptable to patients characteristics, the need for good well-designed large randomized controlled trials of NIV in acute "de novo" hypoxemic respiratory failure (including its comparison with high-flow oxygen nasal therapy) and the development of software-based NIV settings to enhance patient- ventilator synchrony. CONCLUSIONS: The selection made by the experts suggests that some applications of NIV in critical care are supported by solid data (e.g. COPD exacerbation) while others are still waiting for confirmation. Moreover, the identified insights for the future would lead to improved clinical effectiveness, new comparisons and evaluation of its role in still "lack of full evidence" clinical settings.
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Authors | A Cortegiani, V Russotto, M Antonelli, E Azoulay, A Carlucci, G Conti, A Demoule, M Ferrer, N S Hill, S Jaber, P Navalesi, P Pelosi, R Scala, C Gregoretti |
Journal | BMC anesthesiology
(BMC Anesthesiol)
Vol. 17
Issue 1
Pg. 122
(Sep 04 2017)
ISSN: 1471-2253 [Electronic] England |
PMID | 28870157
(Publication Type: Journal Article)
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Topics |
- Critical Care
(methods, trends)
- Critical Illness
(therapy)
- Expert Testimony
(methods, trends)
- Forecasting
- Humans
- Noninvasive Ventilation
(methods, trends)
- Randomized Controlled Trials as Topic
(methods)
- Research Report
(trends)
- Surveys and Questionnaires
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