Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK

Non-invasive ventilation (NIV) is frequently used as a treatment for acute hypercapnic respiratory failure (AHRF) in hospitalised patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). In the UK, many patients with AHRF secondary to AECOPD are treated with ward-based NIV...

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Autores principales: Trethewey, Samuel P., Edgar, Ross G., Turner, Alice M., Mukherjee, Rahul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315392/
https://www.ncbi.nlm.nih.gov/pubmed/30544857
http://dx.doi.org/10.3390/healthcare6040145
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author Trethewey, Samuel P.
Edgar, Ross G.
Turner, Alice M.
Mukherjee, Rahul
author_facet Trethewey, Samuel P.
Edgar, Ross G.
Turner, Alice M.
Mukherjee, Rahul
author_sort Trethewey, Samuel P.
collection PubMed
description Non-invasive ventilation (NIV) is frequently used as a treatment for acute hypercapnic respiratory failure (AHRF) in hospitalised patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). In the UK, many patients with AHRF secondary to AECOPD are treated with ward-based NIV, rather than being treated in critical care. NIV has been increasingly used as an alternative to invasive ventilation and as a ceiling of treatment in patients with a ‘do not intubate’ order. This narrative review describes the evidence base for ward-based NIV in the context of AECOPD and summarises current practice and clinical outcomes in the UK.
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spelling pubmed-63153922019-01-07 Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK Trethewey, Samuel P. Edgar, Ross G. Turner, Alice M. Mukherjee, Rahul Healthcare (Basel) Review Non-invasive ventilation (NIV) is frequently used as a treatment for acute hypercapnic respiratory failure (AHRF) in hospitalised patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). In the UK, many patients with AHRF secondary to AECOPD are treated with ward-based NIV, rather than being treated in critical care. NIV has been increasingly used as an alternative to invasive ventilation and as a ceiling of treatment in patients with a ‘do not intubate’ order. This narrative review describes the evidence base for ward-based NIV in the context of AECOPD and summarises current practice and clinical outcomes in the UK. MDPI 2018-12-09 /pmc/articles/PMC6315392/ /pubmed/30544857 http://dx.doi.org/10.3390/healthcare6040145 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Trethewey, Samuel P.
Edgar, Ross G.
Turner, Alice M.
Mukherjee, Rahul
Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK
title Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK
title_full Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK
title_fullStr Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK
title_full_unstemmed Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK
title_short Ward-Based Non-Invasive Ventilation in Acute Exacerbations of COPD: A Narrative Review of Current Practice and Outcomes in the UK
title_sort ward-based non-invasive ventilation in acute exacerbations of copd: a narrative review of current practice and outcomes in the uk
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315392/
https://www.ncbi.nlm.nih.gov/pubmed/30544857
http://dx.doi.org/10.3390/healthcare6040145
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