Applying Noninvasive Ventilation in Treatment of Acute Exacerbation of COPD Using Evidence-Based Interprofessional Clinical Practice

被引：2

作者：

Farmer, Mary Jo S. ^{[1
]}

Callahan, Christine D. ^{[2
]}

Hughes, Ashley M. ^{[3
,4
]}

Riska, Karen L. ^{[5
]}

Hill, Nicholas S. ^{[6
]}

机构：

[1] UMASS Chan Med Sch Baystate, Dept Med, Pulm & Crit Care Div, Springfield, MA 01107 USA

[2] Baystate Med Ctr, Heart & Vasc Res, Springfield, MA, Brazil

[3] Univ Illinois, Dept Biomed & Hlth Informat Sci, Coll Appl Hlth Sci, Chicago, IL USA

[4] Edward Hines Jr VA Hosp, Ctr Innovat Complex Chron Healthcare CINCCH, Hines, IL 60141 USA

[5] Baystate Med Ctr, Springfield, MA USA

[6] Tufts Univ, Div Pulm Crit Care & Sleep Med, Sch Med, Boston, MA USA

来源：

CHEST | 2024年 / 165卷 / 06期

关键词：

acute exacerbation of COPD; COPD; interprofessional team; noninvasive ventilation; OBSTRUCTIVE PULMONARY-DISEASE; ACUTE RESPIRATORY-FAILURE; LONG-TERM SURVIVAL; RECOMMENDATIONS; GUIDELINES; THERAPY; ADULT; CARE; NIV;

D O I：

10.1016/j.chest.2024.02.040

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

When administered as first-line intervention to patients admitted with acute hypercapnic respiratory failure secondary to COPD exacerbation in conjunction with guideline-recommended therapies, noninvasive ventilation (NIV) has been shown to reduce mortality and endotracheal intubation. Opportunities to increase uptake of NIV continue to exist despite inclusion of this therapy in clinical guidelines. Identifying patients appropriate for NIV, and subsequently providing close monitoring to determine an improvement in clinical condition involves a team consisting of physician, nurse, and respiratory therapist in institutions that successfully implement NIV. We describe to our knowledge the first known evidence-based algorithm speaking to initiation, titration, monitoring, and weaning of NIV in treatment of acute exacerbation of COPD that incorporates the necessary interprofessional collaboration among physicians, nurses, and respiratory therapists caring for these patients.

引用

页码：1469 / 1480

页数：12

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