Management of acute hypercapnic respiratory failure
| Autor: | Lara Pisani, Stefano Nava, Nadia Corcione |
|---|---|
| Přispěvatelé: | Pisani, Lara, Corcione, Nadia, Nava, Stefano |
| Rok vydání: | 2016 |
| Předmět: |
Male
Extracorporeal Circulation medicine.medical_specialty Acute hypercapnic respiratory failure Critical Care Treatment outcome Critical Care and Intensive Care Medicine Risk Assessment Hypercapnia Pulmonary Disease Chronic Obstructive 03 medical and health sciences 0302 clinical medicine COPD acute hypercapnic respiratory failure noninvasive ventilation extracorporeal CO2 removal Cause of Death medicine Humans 030212 general & internal medicine Intensive care medicine COPD Noninvasive Ventilation business.industry Disease progression Extracorporeal circulation Carbon Dioxide Prognosis medicine.disease Respiration Artificial Survival Analysis Treatment Outcome 030228 respiratory system Acute Disease Disease Progression Female Noninvasive ventilation medicine.symptom Respiratory Insufficiency business |
| Zdroj: | Current Opinion in Critical Care. 22:45-52 |
| ISSN: | 1070-5295 |
| Popis: | The objective of this article is to review the most recent literature regarding the management of acute hypercapnic respiratory failure (AHRF).In the field of AHRF management, noninvasive ventilation (NIV) has become the standard method of providing primary mechanical ventilator support. Recently, extracorporeal carbon dioxide removal (ECCO2R) devices have been proposed as new therapeutic option.NIV is an effective strategy in specific settings and in selected population with AHRF. To date, evidence on ECCO2R is based only on case reports and case-control trials. Although the preliminary results using ECCO2R to decrease the rate of NIV failure and to wean hypercapnic patients from invasive ventilation are remarkable; further randomized studies are needed to assess the effects of this technique on both short-term and long-term clinical outcomes. |
| Databáze: | OpenAIRE |
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