Indication of invasive and noninvasive positive pressure ventilation for acute respiratory failure of COPD.
- Author:
Cang Thanh Tran
- Publication Type:Journal Article
- Keywords:
acute respiratory failure
- MeSH:
Intermittent Positive-Pressure Ventilation;
respiratory failure;
Pulmonary Disease, Chronic Obstructive
- From:Journal of Medical and Pharmaceutical Information
2002;6():32-36
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
To suggest the guide for indication of IV and NPPV for ARF of COPD, from January 1996 to May 1998, a prospective clinical trial was carried out in 57 COPD patients with ARF at the ICU of Bach Mai hospital. NPPV was indicated without severe complications. IV was indicated for 42 patients, the mortality rate decreased from 73% (1991-1994) to 28.5% (1996 - 1998). 2 patients in the IV group were extubated and successfully followed by NPPV. We conclude that, NPPV should be attempted before the decision of intubation or tracheotomy is made. IV with the moderate minute volume had very good effectiveness in severe ARFCOPD. We also suggest a guide for indications of NPPV and IV for ARFCOPD.
