Non-invasive mechanical ventilation (NIV) is a form of patient ventilation that is carried out without the use of endotracheal intubation. It is performed by use of several types of masks with the use of positive pressure on the respiratory system. Indications for the use of NIV are patients with COPD, pneumonia, bronchial asthma, acute heart failure (pulmonary edema). (1) An important precondition for using NIV is that the patient spontaneously breathes. The main reason for the growing interest in the use of NIV is to avoid complications of invasive mechanical ventilation. Used in intensive care units when starting NIV, it is necessary to make the maximum effort in selecting an adequate interface and its proper adaptation to a particular patient. There are a number of interfaces most commonly used in masks across the face and nose mask. Well-educated and experienced healthcare professionals need to carefully monitor the patient who started this form of mechanical ventilation support. Care should be taken not only on the vital signs and values of PAAK, but also on the comfort and patient tolerance of the interface. Intubation kit should be prepared and in case of inadequate response, invasive ventilation should be initiated without delay. This paper presents the case of a long-term treatment patient who was treated for chronic pulmonary decompensation with NIV application. The basic causative factor in this case was obesity with alveolar hypoventilation. Additional cases are presenting female patients patient treated for pulmonary embolism with use of NIV.

These are most common nursing diagnoses in patient care: Fear from feeling facial closure and masking, uncertainty of disease outcomes and Activity intolerance. (2) The efficacy of treating patients with NIV depends largely on a well-trained medical team that plays an extremely important role both in patient preparation and in NIV monitoring because a well-prepared patient cooperates better, and the outcome of non-invasive ventilation is better.