Respiratory Care Management of COPD Exacerbations

被引：4

作者：

Hess, Dean R. ^{[1
,2
]}

机构：

[1] Massachusetts Gen Hosp, Resp Care, Boston, MA 02114 USA

[2] Northeastern Univ, Boston, MA 02115 USA

来源：

RESPIRATORY CARE | 2023年 / 68卷 / 06期

关键词：

aerosol therapy; auto-PEEP; care coordination; COPD; exacerbation; extracorporeal CO2 removal; high-flow nasal cannula; noninvasive ventilation; oxygen therapy; OBSTRUCTIVE PULMONARY-DISEASE; END-EXPIRATORY PRESSURE; FLOW NASAL CANNULA; CARBON-DIOXIDE REMOVAL; VENOUS-BLOOD GAS; NONINVASIVE VENTILATION; AEROSOL THERAPY; BRONCHODILATOR DELIVERY; MECHANICAL VENTILATION; INDUCED HYPERCAPNIA;

D O I：

10.4187/respcare.11069

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

RTs and physicians working in an acute care setting see patients with COPD exacerbation on a regular basis. Evidence based practices such as controlled O2 administration, delivery of short-acting bronchodilators, and use of NIV improve patient outcomes. Management of auto-PEEP is a priority in mechanically ventilated patients with COPD exacerbation. The evidence related to HFNC and extracorporeal CO2 removal for this patient population is immature, and RCTs are needed. Care coordination is effective in the care of patients with COPD exacerbation.

引用

页码：821 / 837

页数：17

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