Medicine
Volume 36, Issue 5 , Pages 246-249, May 2008

Non-invasive mechanical ventilation

Mark W Elliott MD FRCP is Consultant Physician at St James's University Hospital, Leeds, UK. He qualified from the University of Cambridge and the London Hospital Medical School, London, and trained in general medicine and respiratory medicine in London. His research interests include non-invasive ventilation and sleep-related abnormalities of breathing. Competing interests: none declared

Abstract 

Non-invasive ventilation (NIV) is the provision of ventilatory support without instrumentation of the airway. It can be achieved using a negative-pressure machine (e.g. ‘iron lung’) or, more commonly, with positive pressure administered through a well-fitting mask. This contribution considers positive-pressure ventilation only; negative pressure is now seldom used.

Keywords: chronic obstructive pulmonary disease, continuous positive airways pressure, iron lung, non-invasive ventilation, ventilatory support

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PII: S1357-3039(08)00050-9

doi:10.1016/j.mpmed.2008.02.007

Medicine
Volume 36, Issue 5 , Pages 246-249, May 2008