Clinical update

New recommendations on acute non-invasive ventilation

National Confidential Enquiry into Patient Outcome and Death calls for major improvements and lists 21 ways to achieve better care, including a minimum staffing ratio, an escalation plan and a clinical lead in every hospital

National Confidential Enquiry into Patient Outcome and Death calls for major improvements and lists 21 ways to achieve better care, including a minimum staffing ratio, an escalation plan and a clinical lead in every hospital

Essential facts

Non-invasive ventilation (NIV) is support for a patient’s breathing using a mask or similar device, without the need for intubation or a tracheostomy. The most common condition that NIV is used to treat in hospitals is chronic obstructive pulmonary disease, the fifth-biggest killer in the UK and the second most common reason for hospital admission. A study published in 2000 demonstrated the effectiveness of NIV delivered by nursing staff on UK respiratory wards in reducing mortality by 10% to 20% compared with standard care.

What’s new

The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) published new recommendations on acute

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