Extracorporeal CO2 removal in hypercapnic patients who fail noni nvasive ventialtion and refuse endotracheal intubation. a case series
Autor: | Alessandra Orecchioni, Luciana Mascia, Francesco Alessandri, Andrea Morelli, Vito Marco Ranieri, Annalia D'Egidio |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Acute hypercapnic respiratory failure Standard of care Exacerbation business.industry noninvasive ventilation Endotracheal intubation Critical Care and Intensive Care Medicine Extracorporeal extracorporeal co2 removal acute hypercapnic respiratory failure Anesthesia Co2 removal Poster Presentation Breathing medicine Noninvasive ventilation Intensive care medicine business |
Zdroj: | Intensive Care Medicine Experimental Europe PubMed Central |
Popis: | Noninvasive ventilation (NIV) represents the standard of care for patients with exacerbation of chronic obstructive pulmonary disease. However, NIV fails in almost 40% of the most severe forms of acute hypercapnic respiratory failure and patients must undergo endotracheal intubation and invasive ventilation. Such transition from NIV to invasive ventilation is associated to increased mortality. Under these circumstances, patients may express a clear intention not to be intubated. |
Databáze: | OpenAIRE |
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