For which of the following groups would you recommend long-term negative pressure ventilation in an alternative setting?
1. Patients who cannot or will not use noninvasive positive pressure ventilation
2. Patients who need frequent airway access for suctioning
3. Patients with severe nasal congestion or obstruction
a. 1 and 2 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 3
ANS: D
Nonetheless, negative pressure ventilation may be appropriate in those patients who are unable to use or who have failed noninvasive positive pressure ventilation trials. Negative pressure ventila-tion may also be considered for patients who require frequent airway access for suctioning or those with severe nasal congestion.
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