Non invasive ventilation in COPD.
Indian J Chest Dis Allied Sci
; 2000 Apr-Jun; 42(2): 105-14
Article
em En
| IMSEAR
| ID: sea-29486
ABSTRACT
Non invasive ventilation refers to the technique of providing ventilatory support without a direct conduit to the airway. It is a promising new technique, which is particularly useful in patients with COPD. Patients with COPD are prone to develop acute exacerbations, which pushes them into acute respiratory failure. Under these circumstances, tracheal intubation and mechanical ventilation is associated with significant morbidity and mortality. A number of well conducted studies support the fact that non invasive positive pressure ventilation (NIPPV) in these circumstances reduces rates of intubation, mortality, complications and duration of hospital stay. The biggest advantage of these techniques is their simplicity, ease of implementation and improved patient comfort allowing them to retain important functions like speech, cough and swallowing. NIPPV should be instituted early in the course of acute respiratory failure due to COPD before irreversible fatigue sets in. The current thinking is that NIPPV rests the respiratory muscles allowing other therapies time to be effective. Facilities for NIPPV should be available in all hospitals admitting patients with respiratory failure. Patients with severe, stable COPD who are hypercapnic and are deteriorating despite maximal conventional treatment should definitely be offered a trial of NIPPV. In such patients NIPPV has been shown to improve quality of life, reverse blood gas abnormalities, improve exercise tolerance and reduce hospital admissions. Physicians must familiarize themselves with this promising new ventilatory technique.
Texto completo:
1
Índice:
IMSEAR
Assunto principal:
Oxigenoterapia
/
Humanos
/
Protocolos Clínicos
/
Doença Aguda
/
Ventilação com Pressão Positiva Intermitente
/
Pneumopatias Obstrutivas
/
Máscaras
Tipo de estudo:
Guideline
Idioma:
En
Revista:
Indian J Chest Dis Allied Sci
Ano de publicação:
2000
Tipo de documento:
Article