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[Noninvasive ventilation in chronic obstructive lung disease].

I Laube1, K E Bloch

  • 1Departement Innere Medizin, Universitätsspital Zürich.

Therapeutische Umschau. Revue Therapeutique
|April 28, 1999
PubMed
Summary

Noninvasive mechanical ventilation offers an alternative to endotracheal intubation for respiratory failure. While established for some conditions, its benefit in chronic obstructive lung disease requires further investigation.

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Area of Science:

  • Pulmonology
  • Critical Care Medicine

Context:

  • Noninvasive mechanical ventilation (NIMV) bypasses the need for endotracheal intubation.
  • NIMV via nasal or face mask shows promise in acute respiratory failure (ARF) due to chronic obstructive lung disease (COPD), potentially reducing intubation, hospital stays, and improving survival.
  • Long-term noninvasive intermittent ventilation is established for neuromuscular diseases and thoracic deformities.

Purpose:

  • To evaluate the efficacy of noninvasive ventilation (NIV) as an adjunct to standard treatment for chronic respiratory failure in COPD patients.
  • To determine if NIV improves symptoms and survival in this patient population.

Summary:

  • The study reviews the application of noninvasive ventilation (NIV) in various respiratory failure scenarios.
  • While effective in acute settings and for specific chronic conditions, its role in augmenting standard care for COPD-related chronic respiratory failure remains uncertain.

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  • Close patient monitoring, careful selection, optimized settings, and trained personnel are crucial for successful NIV implementation.

    • Impact:

    • Clarifies the current understanding and potential benefits of noninvasive ventilation in managing respiratory failure.
    • Highlights the need for further research into NIV's role in COPD management.
    • Emphasizes critical factors for successful NIV application and patient outcomes.