Non invasive ventilation in COPD.

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dc.contributor.authorSidhu, U Sen_US
dc.contributor.authorBehera, Den_US
dc.date.accessioned2000-04-01en_US
dc.date.accessioned2009-05-27T10:14:54Z
dc.date.available2000-04-01en_US
dc.date.available2009-05-27T10:14:54Z
dc.date.issued2000-04-01en_US
dc.description56 references.en_US
dc.description.abstractNon 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.en_US
dc.description.affiliationDepartment of Pulmonary Medicine, Dayanand Medical College, Ludhiana. ussidhu@satyam.net.inen_US
dc.identifier.citationSidhu US, Behera D. Non invasive ventilation in COPD. The Indian Journal of Chest Diseases & Allied Sciences. 2000 Apr-Jun; 42(2): 105-14en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/29486
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/iae/iaem.shtmlen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshClinical Protocolsen_US
dc.subject.meshHumansen_US
dc.subject.meshIntermittent Positive-Pressure Ventilation --methodsen_US
dc.subject.meshLung Diseases, Obstructive --therapyen_US
dc.subject.meshMasks --adverse effectsen_US
dc.subject.meshOxygen Inhalation Therapy --methodsen_US
dc.titleNon invasive ventilation in COPD.en_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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