Noninvasive Ventilation in Acute Hypercapnic Respiratory Failure

被引:9
作者
Pisani, Lara [1 ]
Nava, Stefano [1 ]
机构
[1] Univ Bologna, Alma Mater Studiorum, St Orsola Malpighi Hosp, Dept Specialist Diagnost & Expt Med DIMES, Bologna, Italy
关键词
noninvasive ventilation; acute respiratory failure; hypercapnia; POSITIVE-PRESSURE VENTILATION; OBSTRUCTIVE PULMONARY-DISEASE; MECHANICAL VENTILATION; ACUTE EXACERBATIONS; CONTROLLED-TRIAL; RISK; EXTUBATION; COPD; OUTCOMES; HELMET;
D O I
10.1055/s-0034-1383864
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Noninvasive mechanical ventilation (NIV) improves gas exchange and clinical outcome in various types of acute respiratory failure. Acute exacerbation of chronic obstructive pulmonary disease is a frequent cause of acute hypercapnic respiratory failure (AHRF). According to several randomized controlled trials, the addition of NIV to standard medical therapy reduces mortality, intubation rate, and hospital length of stay in these patients. Indications for the use of NIV have expanded over the past decade. In this article, we discuss the clinical indications and goals of NIV in the management of AHRF.
引用
收藏
页码:501 / 506
页数:6
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