Management of Respiratory Failure: Ventilator Management 101 and Noninvasive Ventilation

Clin J Am Soc Nephrol. 2022 Apr;17(4):572-580. doi: 10.2215/CJN.13091021. Epub 2022 Mar 10.

Abstract

Mechanical ventilation is a lifesaving therapy for critically ill patients with respiratory failure, but like all treatments, it has the potential to cause harm if not administered appropriately. This review aims to give an overview of the basic principles of invasive and noninvasive mechanical ventilation. Topics covered include modes of mechanical ventilation, respiratory mechanics and ventilator waveform interpretation, strategies for initial ventilator settings, indications and contraindications for noninvasive ventilation, and the effect of the ventilator on kidney function.

Keywords: critical care nephrology and acute kidney injury series; mechanical ventilation; respiratory failure.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Critical Illness
  • Humans
  • Noninvasive Ventilation* / adverse effects
  • Respiration, Artificial
  • Respiratory Insufficiency* / therapy
  • Ventilators, Mechanical