{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T01:04:13Z","timestamp":1791421453238,"version":"4.3.3"},"reference-count":74,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T00:00:00Z","timestamp":1712188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Over the last several decades, the cardiac intensive care unit (CICU) has seen an increase in the complexity of the patient population and etiologies requiring CICU admission. Currently, respiratory failure is the most common reason for admission to the contemporary CICU. As a result, noninvasive ventilation (NIV), including noninvasive positive-pressure ventilation and high-flow nasal cannula, has been increasingly utilized in the management of patients admitted to the CICU. In this review, we detail the different NIV modalities and summarize the evidence supporting their use in conditions frequently encountered in the CICU. We describe the unique pathophysiologic interactions between positive pressure ventilation and left and\/or right ventricular dysfunction. Additionally, we discuss the evidence and strategies for utilization of NIV as a method to reduce extubation failure in patients who required invasive mechanical ventilation. Lastly, we examine unique considerations for managing respiratory failure in certain, high-risk patient populations such as those with right ventricular failure, severe valvular disease, and adult congenital heart disease. Overall, it is critical for clinicians who practice in the CICU to be experts with the application, risks, benefits, and modalities of NIV in cardiac patients with respiratory failure.<\/jats:p>","DOI":"10.1177\/08850666241243261","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T03:07:51Z","timestamp":1712200071000},"page":"715-725","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Noninvasive Ventilation in the Cardiac Intensive Care Unit"],"prefix":"10.1177","volume":"40","author":[{"given":"Christopher S.","family":"Schenck","sequence":"first","affiliation":[{"name":"Department of Medicine, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fouad","family":"Chouairi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9363-9345","authenticated-orcid":false,"given":"David M.","family":"Dudzinski","sequence":"additional","affiliation":[{"name":"Department of Medicine, Massachusetts General Hospital, Boston, MA, USA"},{"name":"Corrigan Minehan Heart Center, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0595-1492","authenticated-orcid":false,"given":"P. Elliott","family":"Miller","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/08850666211003489"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.117.003616"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000182"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2019.08.033"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9030860"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2021.01.018"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.119.006013"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.09.828"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90032-2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197908303010901"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.06.074"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1985.58.4.1148"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI111065"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.06635"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1992.72.3.905"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00211.2006"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00113.2019"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2019.11.038"},{"issue":"4","key":"e_1_3_2_20_2","first-page":"1002","article-title":"How does positive end-expiratory pressure reduce intrapulmonary shunt in canine pulmonary edema?","volume":"57","author":"Malo J","year":"1984","unstructured":"Malo J, Ali J, Wood LD. How does positive end-expiratory pressure reduce intrapulmonary shunt in canine pulmonary edema? J Appl Physiol Respir Environ Exerc Physiol. 1984;57(4):1002\u20131010.","journal-title":"J Appl Physiol Respir Environ Exerc Physiol"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1988.65.3.1244"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1985.58.4.1189"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-198206000-00002"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-015-0084-5"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06228-7"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04577"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacadv.2022.100065"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1503326"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-03409-0"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-03214-9"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05787"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.1369"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuac128"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra051884"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/1060028018782209"},{"issue":"1","key":"e_1_3_2_36_2","first-page":"1","article-title":"Effect of continuous positive airway pressure (CPAP) on mortality in the treatment of acute cardiogenic pulmonary oedema (ACPO) in the pre-hospital setting: randomised controlled trial","volume":"25","author":"Austin M","year":"2013","unstructured":"Austin M, Wills K, Kilpatrick D, Gibson M, Walters EH. Effect of continuous positive airway pressure (CPAP) on mortality in the treatment of acute cardiogenic pulmonary oedema (ACPO) in the pre-hospital setting: randomised controlled trial. Emerg Med Australas. 2013;25(S1):1\u201314.","journal-title":"Emerg Med Australas."},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.005413"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-011-2311-4"},{"key":"e_1_3_2_39_2","unstructured":"El-Refay BH Gwada RF Ibrahim BS. Bi-level Versus Continuous Positive Airway Pressure in Acute."},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2010.03.007"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707992"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2001.3156"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2183-y"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200211-1270OC"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000147770.20400.10"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuab078"},{"issue":"4","key":"e_1_3_2_47_2","article-title":"Non-invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary oedema","volume":"4","author":"Berbenetz N","year":"2019","unstructured":"Berbenetz N, Wang Y, Brown J, et al. Non-invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary oedema. Cochrane Database Syst Rev. 2019;4(4):CD005351.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2017.02.005"},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-1058"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2009.07.042"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.06.488"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-010-2082-3"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx580"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.01.004"},{"key":"e_1_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9061937"},{"key":"e_1_3_2_56_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-052761"},{"key":"e_1_3_2_57_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.2333"},{"key":"e_1_3_2_58_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.12.175"},{"key":"e_1_3_2_59_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002586"},{"key":"e_1_3_2_60_2","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0000000000000420"},{"key":"e_1_3_2_61_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.09.038"},{"key":"e_1_3_2_62_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2021-320676"},{"key":"e_1_3_2_63_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuad030"},{"key":"e_1_3_2_64_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-020-01389-9"},{"key":"e_1_3_2_65_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000748"},{"key":"e_1_3_2_66_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc8852"},{"key":"e_1_3_2_67_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002327"},{"key":"e_1_3_2_68_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.158.2.9711045"},{"key":"e_1_3_2_69_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2010.12.015"},{"key":"e_1_3_2_70_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3182282a5a"},{"key":"e_1_3_2_71_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacadv.2022.100173"},{"key":"e_1_3_2_72_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032736"},{"key":"e_1_3_2_73_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.14194"},{"key":"e_1_3_2_74_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.14901"},{"key":"e_1_3_2_75_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.24.3238"}],"container-title":["Journal of Intensive Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666241243261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08850666241243261","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666241243261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:58:00Z","timestamp":1777503480000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08850666241243261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,4]]},"references-count":74,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/08850666241243261"],"URL":"https:\/\/doi.org\/10.1177\/08850666241243261","relation":{},"ISSN":["0885-0666","1525-1489"],"issn-type":[{"value":"0885-0666","type":"print"},{"value":"1525-1489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,4]]}}}