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Ventilazione meccanica non invasiva
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La crescita esponenziale dellinteresse per la ventilazione non invasiva (NIV) verificatasi negli ultimi 10-15 anni, non solo dal punto di vista clinico e applicativo, ma anche speculativo, ha pochi eguali nella recente storia della medicina. In Italia e in Europa in generale tale metodica applicata su larga scala, prevalentemente nei reparti di Pneumologia e nelle Unit di Cure Intermedie Respiratorie, mentre per quanto riguarda la sua applicazione nei reparti di Terapia Intensiva Generale (UTI) i dati emersi da uno studio multicentrico condotto nei paesi francofoni vedono la NIV impiegata in una quantit di casi che rappresenta fino al 50% dei pazienti che richiedono assistenza ventilatoria. Il recente studio EUROVENT ha inoltre dimostrato come la NIV non si limiti alla sua applicazione acuta, dal momento che circa 25.000 pazienti sono attualmente ventilati in cronico a domicilio. Inoltre, si calcola che milioni di cittadini europei soffrano attualmente di disturbi respiratori durante il sonno, e per molti di essi il trattamento medico di prima scelta rappresentato dalla NIV. Questo libro si propone lo scopo di richiamare lattenzione sulle pi recenti acquisizioni in questo campo, con la speranza di fornire uno strumento valido e maneggevole per la scelta e limpostazione della migliore modalit di ventilazione.
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