What is the recommended interface for most patients receiving noninvasive ventilation (NIV)?

The recommended interface for most patients receiving noninvasive ventilation (NIV) is a nasal mask or a full-face mask, selected based on patient tolerance and specific needs. This choice is supported by various guidelines that emphasize the importance of patient comfort and effective ventilation.

Nasal masks are often preferred for patients with conditions like obstructive sleep apnea or those who can tolerate breathing through their nose. They provide a secure fit and allow for sufficient air exchange while minimizing discomfort and skin breakdown. On the other hand, full-face masks are beneficial for patients who cannot breathe through their nose due to anatomical issues, congestion, or high levels of respiratory distress. These masks ensure that both nasal and oral ventilation can occur, making them vital for patients who may require higher pressures due to serious respiratory conditions.

The essential factor in selecting between a nasal mask and a full-face mask is patient tolerance, as comfort directly influences compliance with the ventilation strategy. Therefore, the flexibility to choose based on individual patient needs maximizes the effectiveness of NIV in managing respiratory failure while enhancing the overall patient experience.

Other options, such as a simple oxygen cannula, a mouthpiece fitted with a one-way valve, or a complete ventilator system, do not provide the necessary support for the range