Non-Invasive Ventilation: First Line Therapy in the Acute Exacerbations of COPD in Emergency Department
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 2
Abstract
Noninvasive ventilation has been a major advancement in the management of acute exacerbations of chronic obstructive pulmonary disease. It reduces the need for endotracheal intubation, thereby reducing associated complications and hospital cost. The aim of our study is to assess the efficacy of noninvasive ventilation in acute exacerbations of chronic obstructive pulmonary disease with respiratory failure. A total of 86 patients presenting with acute respiratory distress at our emergency room were initially included and evaluated. Non invasive ventilation was initiated in addition to standard medical treatment in all cases. Response to therapy in terms of improvement in patients’ vitals and ABG were sequentially recorded and analyzed. Overall 72.5% (n=29) of the patients improved, whereas 27.5% (n=11) did not improve with NIV among whom 63.63% (n=7) had to be mechanically ventilated. 62.5% (n=25) showed a good ABG response with improvement in pH and decrease in PaCO2 levels. Therefore, NIV should be considered to be the first line of management in acute exacerbations of COPD with respiratory failure.
Authors and Affiliations
Mohammed Ismail Nizami
Keywords
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- EP ID EP453286
- DOI 10.21088/ijem.2395.311X.3217.7
- Views 78
- Downloads 0
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