Noninvasive ventilation for COPD patients

Noninvasive ventilation (NIV), also known as noninvasive positive pressure ventilation (NPPV), is an effective treatment for ventilatory failure,1-2 including Paediatric cases.3

For patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) the use of NPPV is associated with:4-9

  • Marked reduction in the need for endotracheal intubation
  • Decrease in complication rate
  • Reduction of nosocomial infections
  • Reduced duration of hospital stay
  • Substantial reduction in hospital mortality

While of limited benefit for the long-term treatment of COPD patients, domiciliary NPPV might be beneficial in COPD patients with hypercapnia.10-12

NPPV is an important part of disease management for patients with advanced neuromuscular disease and chest wall disorders. NPPV is usually initiated if there are symptoms due to nocturnal hypoventilation or right heart failure in the presence of a raised carbon dioxide tension in arterial blood.13-14 NPPV is a highly cost-effective treatment for appropriate patients.15-16

References

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