chapter  3
8 Pages

Setting up a non-invasive ventilation service A K Simonds

Justification for non-invasive ventilation 31

Establishing need and target population 31

Specialist services 32

Location of non-invasive ventilation unit 32

Monitoring 34

Staffing and training 34

Equipment 35

Protocols 36

Audit and development 37

Long-term non-invasive ventilation link 37

References 38

JUSTIFICATION FOR NON-INVASIVE VENTILATION

The evidence to support non-invasive ventilation (NIV) use in a variety of conditions has been listed in Chapter 1. There is now incontrovertible evidence that NIV in acute exacerbations of chronic obstructive pulmonary disease (COPD) is gold standard therapy, and it also has a joint first-line role in acute cardiogenic pulmonary oedema, and should strongly be considered as part of an overall weaning strategy. For acute hospitals who already have an NIV service, it is helpful to review this regularly and ensure it continues to be effective, responsive to new indications, and safe.