Weaning from Non-invasive Mechanical Ventilation Approaches (NIV-NHF): Insights on How, When and Where

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Intensive Care".

Deadline for manuscript submissions: 25 April 2025 | Viewed by 352

Special Issue Editor

Special Issue Information

Dear Colleagues,

Weaning (withdrawal, escalation, or des-escalation steps) from non-invasive positive pressure ventilation (NIPPV) or nasal high flow oxygen relates to procedures that are put in place to obtain disconnection of the patient from non-invasive nasal high flow devices, and this is crucial in the achievement of best control in respiratory failure. Failure in any of these steps is associated with an increase in mortality and spending a long time in intensive care units or pneumology wards.

However, in terms of pathophysiology, determinant factors, the best tools for early diagnosis and prevention in weaning from NIV nasal high flow, are poorly defined in clinical practice.

In this proposed Special Issue, we aim to define the factors that have an impact on the steps of “how, when and where”, as well as the best escalation-de-escalation (weaning from NIV nasal high flow).

We are considering updating this topic to the following title: Weaning from Non-Invasive Mechanical Ventilation Approaches (NIV nasal high flow), focused on these key major issues:

  1. Withdrawal pathophysiology;
  2. Clinical determinants;
  3. Comorbid conditions;
  4. Equipment-ventilatory modes-setting;
  5. Special determinants in hypercapnic and hypoxemic;
  6. Escalation-de-escalation: determinants’ response;
  7. Recommendations for prevention, safe responses, and effectiveness;
  8. Summary and clinical evidence for withdrawal approach in three key questions: how, when, and where.

Dr. Antonio M. Esquinas
Guest Editor

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Keywords

  • non-invasive positive pressure ventilation (NIPPV)
  • nasal high flow oxygen
  • respiratory failure
  • intensive care units
  • pneumology wards
  • non-invasive mechanical ventilation approaches (NIV nasal high flow)

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