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Non-invasive ventilation (NIV) is the use of breathing support administered through a face mask, nasal mask, or a helmet.Air, usually with added oxygen, is given through the mask under positive pressure; generally the amount of pressure is alternated depending on whether someone is breathing in or out.
The traditional low flow system used for medical gas delivery is the Nasal cannula which is limited to the delivery of 1–6 L/min of oxygen or up to 15 L/min in certain types. This is because even with quiet breathing, the inspiratory flow rate at the nares of an adult usually exceeds 30 L/min.
The fitting characteristic of a respirator is the ability of the mask to separate a worker's respiratory system from ambient air. This is achieved by tightly pressing the mask flush against the face (without gaps) to ensure an efficient seal on the mask perimeter.
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Nasal prongs or a nasal mask is the most common modality of treatment. [13] Nasal prongs are placed directly in the person's nostrils. A nasal mask is a small mask that covers the nose. There are also nasal pillow masks which have a cushion at the base of the nostrils, and are considered the least invasive option. [17]
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The simple face mask can deliver higher flow rates than nasal cannula (6–10 liters per minute) for an FiO2 of 30- 60% oxygen. [1] Nasal cannula and simple face masks are described as low flow delivery systems. [2] [3] Unlike the non-rebreather and partial rebreather masks, the simple face mask lacks a reservoir bag.
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