A 70-year-old man with COPD is admitted to ICU for NIV. After 48 hours, he is improving but the team notes he has significant mask intolerance with na...

Question

A 70-year-old man with COPD is admitted to ICU for NIV. After 48 hours, he is improving but the team notes he has significant mask intolerance with nasal bridge ulceration. What is the most appropriate intervention to improve NIV tolerance?

Accepted Answer

Rotate between different mask interfaces (nasal mask, full-face mask, total face mask, helmet) and use protective dressings on pressure areas

Answer

Discontinue NIV as the patient cannot tolerate it

Answer

Switch to invasive ventilation

Answer

Apply CPAP instead of bilevel NIV

Answer

Increase sedation to improve compliance

uk-fficm MCQ (SBA): NIV Interface Management

A 70-year-old man with COPD is admitted to ICU for NIV. After 48 hours, he is improving but the team notes he has significant mask intolerance with nasal bridge ulceration. What is the most appropriate intervention to improve NIV tolerance?