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Non-invasive positive pressure ventilation for COPD patients
Denise Gibbons1, Pauline Milner
1Acute Respiratory Assessment Service, South Tyneside District Hospital, South Shields, Tyne and Wear.
Professional Nurse (London, England)
|March 29, 2002
Summary
Patients with chronic obstructive pulmonary disease (COPD) experiencing respiratory failure can now be treated with non-invasive ventilation in general wards, reducing the need for intensive care unit admission.
Area of Science:
- Pulmonary Medicine
- Critical Care
Background:
- Chronic obstructive pulmonary disease (COPD) exacerbations can lead to acute respiratory failure.
- Intensive care unit (ICU) admission for invasive mechanical ventilation was the traditional management approach.
Purpose of the Study:
- To evaluate the shift in management for COPD exacerbations.
- To assess the impact of non-invasive positive pressure ventilation (NIPPV) on patient care.
Main Methods:
- Review of patient management protocols for COPD exacerbations.
- Analysis of NIPPV implementation in general hospital wards.
Main Results:
- NIPPV via facial or nasal mask allows for effective treatment of respiratory failure.
- Increased utilization of NIPPV in general wards for COPD patients.
Conclusions:
- Non-invasive ventilation is increasingly used for COPD exacerbations outside the ICU.
- This approach potentially reduces the burden on intensive care resources.