The Problem With Non-Invasive Ventilation

There's no good reason why non-envasive ventilation wouldn't cause similar problems. This of course brings up the unanswered and quite entertaining controversy over peace silly or patient self induced lung injury. There are now a number of well established indications where it's entirely appropriate to try and temperize or even do the complete course of treatment with non-invasive rather than just putting the tube in. For pulmonary edema, there is a clearly proven benefit for reducing intubations and improving oxygenation though the signal for mortality improvement is not nearly as clear.