What is the significance of patient selection in NIV?

The significance of patient selection in noninvasive ventilation (NIV) is crucial because it directly affects both the efficacy of the treatment and the likelihood of complications. Proper selection of patients who are most likely to benefit from NIV—such as those with acute respiratory failure, COPD exacerbations, or pneumonia—can lead to successful outcomes where patients experience improved ventilation and reduced work of breathing. Selecting the right candidates helps to maximize the therapeutic benefits of NIV while minimizing risks, such as discomfort, inadequate ventilation, or even failure of treatment which can necessitate invasive interventions. This careful vetting of cases ensures that resources are effectively utilized and patient safety is prioritized, aligning with best practices in respiratory care.