Another step for noninvasive ventilation in chronic obstructive pulmonary disease patients! |
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Authors: | Samir Jaber Gerald Chanques |
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Institution: | 1.Intensive Care Unit, Anesthesia and Critical Care Department B, Saint Eloi Teaching Hospital, INSERM ERI-25,Université Montpellier 1, Centre Hospitalier Universitaire Montpellier,Montpellier,France |
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Abstract: | The use of noninvasive positive pressure ventilation (NPPV) in chronic obstructive pulmonary disease (COPD) patients who are
not eligible for the technique because of their incapability to spontaneously eliminate accumulated secretions associated
with hypercapnic encephalopathy is not recommended and is often considered a contraindication. In a case-control study, an
experienced team reported the feasibility and safety of the use of NPPV with early fibreoptic bronchoscopy in selected acutely
decompensated COPD patients with hypercapnic encephalopathy, and reported the patients' inability to spontaneously clear copious
secretions. The reported data suggest that this innovative therapeutic may be considered as a potential alternative to endotracheal
intubation. |
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Keywords: | |
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