Medical Guideline: Use of Non‐Invasive Mechanical Ventilation (NIMV) in Respiratory Failure

Brief Description: This guideline is intended to standardize initiation, maintenance, and discontinuation of non-invasive mechanical ventilation (NIMV). Provide objective parameters to guide clinicians in recognizing inadequate response to NIMV and initiating escalation of care. This guideline is intended for acutely decompensating patients requiring short-term (hours to days) therapy of mechanical ventilation. Patients with chronic respiratory failure who require chronic nocturnal CPAP/BiPAP are covered by another policy (CPAP/BiPAP policy). This guideline does not apply to patients already on NIMV being downgraded or transferred from a higher level of care. Delivery of NIMV in these patients is covered under “continuation of NIMV”.

 

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