Tag: Non-invasive ventilation

Home NIPPV in COPD: Why, Who, and How?

Narrative review summarises the evidence from RCTs for long-term positive-pressure NIV in COPD and finds it feasible and effective in stable, non-exacerbated patients or following an acute hypercapnic...
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Decision & workflow-support for long-term NIV in hypercapnic COPD Copy

Digital algorithms may support therapeutic decision-making by less specialised staff in an ambulatory setting. New article describes the development of an algorithm for NIV in patients with chronic hy...
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Reversibility of hypercapnia after AECOPD

Retrospective analysis (N=82) finds 49% of patients with acute hypercapnic AECOPD remained hypercapnic at follow-up. GOLD D & higher PaCO2 at discharge were predicting factors. Home NIV should be cons...
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Prehospital NIV for AECOPD and acute cardiopulmonary oedema

Observational German study (N=545) finds a reduction of mechanical ventilation time and intensive care stay length with prehospital NIV versus endotracheal intubation for acute respiratory insufficien...
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Higher mortality & intubation rate with NIV vs HFO or CPAP

In COVID-19 pneumonia and hypoxemic respiratory failure, NIV use outside an ICU setting was associated with a higher risk of intubation or death vs HFNC after adjusting for covariates. No differences ...
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Home LTNIPPV: PaCO2 reflects treatment effect in hypercapnic COPD patients

Meta-analysis of RCTs: long-term NIV significantly reduces mortality, hospital admissions & PaCO2 versus control treatment in stable hypercapnic COPD patients. Baseline level and reduction in PaCO2 ma...
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Exploring patient experience with NIV: a human-centered analysis

Patient interviews (n=16) identified several themes which influence NIV acceptance by patients with COPD exacerbation: information about NIV, quality of interaction with HCPs and physical and emotiona...
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Remote monitoring could predict and help manage AECOPD

Review discusses integrating PROs, data collected from wearable (e.g. heart rate) and medical devices (non-invasive ventilators) supported by AI models to improve personalised care of COPD and predict...
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High Flow Nasal Cannula Use in COPD Patients with Exacerbations

Lit review finds high-flow nasal cannula should be preferred to conventional O2 therapy in COPD exacerbation without respiratory acidosis and at NIV breaks and weaning, and as a 2L option in respirato...
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