Early use of non-invasive ventilation in acute heart failure to reduce catastrophic end results – a prospective study

Doi: https://doi.org/10.55522/ijti.v3i3.0103

Abstract

Acute heart failure (AHF) syndromes may be accompanied by significant respiratory failure (RF) and is commonly seen in patients with acute cardiogenic pulmonary oedema (ACPE) or cardiogenic shock (CS). Use of non-invasive ventilation (NIV) has been proven to be useful in the treatment of moderate to severe RF in several scenarios. Non-invasive ventilation is effective in ACPE by reducing both respiratory distress and the rate of endotracheal intubation when compared to conventional oxygen therapy. Still, the effect on mortality remains less conclusive. In this article, we will highlight and discuss about the need for early NIV support in patients with AHF, depending on the early selection of patients with AHF, early application of NIV, the correct instructions and achievement of synchronisation between the patient and the ventilator settings and, in some cases, mild sedation may prove the success of the technique.