From: Noninvasive respiratory support for COVID-19 patients: when, for whom, and how?
Contraindications to NIV |
1) Cardiac and respiratory arrest 2) Encephalopathy or altered mentation [37] 3) Severe hypoxaemia on admission defined as PaO2/FiO2 < 150 [50] 4) Pneumothorax, pleural effusion, or pulmonary embolism [49] 5) Active upper gastrointestinal bleed, emesis, or aspiration risk [37] 6) Recent facial trauma or facial surgery [37] 7) Hemodynamic instability as defined by vasopressor use [37, 51] 8) Multiorgan dysfunction or failure [51] 9) SOFA score > 5 is predictive of NIV failure [51, 52] 10) Poorly controlled respiratory secretions [37, 39, 53] 11) CXR/CT showing evidence of bilateral, multilobar involvement [39, 51,52,53] |