L’utilizzo della ventilazione non invasiva (NIV) in ambito extraospedaliero: indagine in 19 Centrali operative Italiane

Carlo Gambaretto, Stefano De Togni

Abstract

Introduzione: la ventilazione non invasiva (NIV) riduce il ricorso ad intubazione tracheale, degenza in Terapia Intensiva e mortalità nei pazienti con insufficienza respiratoria, specialmente per edema polmonare acuto e riacutizzazione di BPCO. Nel contesto nazionale ed internazionale del soccorso extraospedaliero, è in aumento la diffusione di mezzi di soccorso intermedi (MSI) con infermiere a bordo che affiancano i mezzi avanzati con medico; gli infermieri che operano su MSI, al termine di un percorso formativo, erogano prestazioni avanzate riferite a protocolli clinico terapeutici.

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