Noninvasive Technique of Nasal Intermittent Pressure Ventilation (NIPPV) in Patients with Chronic Obstructive Lung Disease After Failure to Wean from Conventional Intermittent Positive-Pressure Ventilation (IPPV): Key Practical Topic and Implications
| Autor: | Farouk-Mike Elkhatib, Mohamad Khatib |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Mechanical ventilation
medicine.medical_specialty Acute exacerbation of chronic obstructive pulmonary disease COPD Respiratory distress business.industry medicine.medical_treatment medicine.disease Intensive care unit Obstructive lung disease law.invention law Anesthesia medicine Breathing Weaning Intensive care medicine business |
| Zdroj: | Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care ISBN: 9783319042589 |
| DOI: | 10.1007/978-3-319-04259-6_19 |
| Popis: | Endotracheal intubation and invasive mechanical ventilation of patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) are often associated with several complications [1]. As such, early weaning from invasive mechanical ventilation and extubation is a paramount objective for clinicians. Usually this is a simple process that necessitates switching patients from an assisted/controlled mode of ventilatory support to an intermittent positive-pressure ventilation (IPPV) mode and the subsequent gradual reduction of the IPPV mandatory rate to the level that the clinician deems enough to attempt extubation and resumption of full spontaneous breathing. However, this process can be cumbersome and even detrimental to patients in terms of prolonging duration of mechanical ventilation, increasing intensive care unit (ICU) and hospital stays, and increasing risks of nosocomial infections and at times mortality and/or morbidity [1]. Furthermore, during this weaning process, some patients might display signs and symptoms of respiratory distress and deranged gas exchange that lead to the termination of the weaning process and resumption of full ventilatory support. |
| Databáze: | OpenAIRE |
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