What is a potential complication of prolonged use of NIV?

Prolonged use of noninvasive ventilation (NIV) can lead to several complications, one of which is facial skin breakdown. This occurs due to the pressure exerted by the masks used in NIV, which can cause irritation, pressure sores, or breakdown of the skin, especially in areas where the mask makes contact.

The interface of the NIV device can create friction and pressure points, especially if the fit is not optimal or if the patient has prolonged periods of use without proper care or adjustments. Skin integrity must be monitored closely, and appropriate skin care measures should be implemented to prevent this complication.

In contrast, the other choices reflect outcomes that are generally considered benefits or reduced risks associated with NIV use. For instance, improved patient comfort and reduced breathing effort are advantages of effectively applied NIV, while decreased risk of aspiration is a protective effect often associated with maintaining airway patency through the support NIV provides.