Skip to main content

Noninvasive Mechanical Ventilation in Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Key Determinants of Early and Late Failure

  • Chapter
Noninvasive Mechanical Ventilation

Abstract

Over the last decade, noninvasive ventilation (NIV) has been increasingly used as an adjunct treatment in the management of acute exacerbations of chronic obstructive pulmonary disease, supported by a number of case series and randomized controlled trials. NIV has also been shown to reduce complications associated with treatment and length of hospital stay and also to reduce mortality.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ABG:

Arterial blood gas

ARF:

Acute respiratory failure

COPD:

Chronic obstructive pulmonary disease

CPAP:

Continuous positive airway pressure

ETI:

Endotracheal intubation

FiO2 :

Fraction of inspired oxygen

HES:

Hypercapnic encephalopathy

ICU:

Intensive care unit

IMV:

Invasive mechanical ventilation

IPV:

Intrapulmonary percussive ventilation

NIV:

Noninvasive ventilation

NNT:

Number needed to treat

OR:

Odds ratio

RCTs:

Randomized controlled trials

UMC:

Usual medical care

References

  1. Brochard L. Non-invasive ventilation for acute exacerbations of COPD: a new standard of care. Thorax. 2000;55:817–8.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  2. American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1995;152:77–120.

    Google Scholar 

  3. Plant PK, Owen JL, Elliott MW. Early use of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial. Lancet. 2000;355:1931–5.

    Article  CAS  PubMed  Google Scholar 

  4. Conti G, Antonelli M, Navalesi P, et al. Noninvasive vs. conventional mechanical ventilation in patients with chronic obstructive pulmonary disease after failure of medical treatment in the ward: a randomized trial. Intensive Care Med. 2002;28:1701–7.

    Article  CAS  PubMed  Google Scholar 

  5. Ram FSF, Picot J, Lightowler J, Wedzicha JA. Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease (Review). Cochrane Database Syst Rev. 2003;326:185–190.

    Google Scholar 

  6. Brochard L, Isabey D, Piquet J, et al. Reversal of acute exacerbations of chronic obstructive lung disease by inspiratory assistance with a face mask. N Engl J Med. 1990;323:1523–30.

    Article  CAS  PubMed  Google Scholar 

  7. Chandra D, Stamm JA, Taylor B, et al. Outcomes of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease in the United States, 1998–2008. Am J Respir Crit Care Med. 2012;185:152–9.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Lindenauer PK, Stefan MS, Shieh MS, et al. Outcomes associated with invasive and non-invasive vertilation among patients hospitalized with exacerbations of chronic obstructive pulmonary disease. JAMA Intern Med. 2014;174(12):1982–93.

    Google Scholar 

  9. Global Intiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for diagnosis, management, and prevention of Chronic Obstructive lung disease. Updated 2014. Global initiative for chronic obstructive lung disease, Inc. Available from: http://www.goldcopd.org/uploads/users/files/GOLD_Report2014_Feb07.pdf. Accessed July 12, 2015.

  10. Ambrosino N, Foglio K, Rubini F, Clini E, Nava S, Vitacca M. Non-invasive mechanical ventilation in acute respiratory failure due to chronic obstructive pulmonary disease: correlates for success. Thorax. 1995;50:755–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Ozyilmaz E, et al. Timing of noninvasive ventilation failure: causes, risk factors, and potential remedies. BMC Pulm Med. 2014;14:19.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Confalonieri M, Garuti G, Cattaruzza MS, et al. A chart of failure risk for non-invasive ventilation in patients with COPD exacerbation. Eur Respir J. 2005;25(2):348–55.

    Google Scholar 

  13. Confalonieri M, Potena A, Cosbone G, et al. Acute respiratory failure in patients with severe community-acquired pneumonia. Am J Respir Crit Care Med. 1999;160:1585–91.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Oya Baydar MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Baydar, O., Ozyilmaz, E. (2016). Noninvasive Mechanical Ventilation in Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Key Determinants of Early and Late Failure. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-319-21653-9_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-21653-9_29

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21652-2

  • Online ISBN: 978-3-319-21653-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics