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A combination of early extubation and non invasive positive pressure ventilation is a good alternative for weaning from invasive ventilation in COPD patients.
Indeed, invasive positive pressure ventilation and sedation may contribute to development of atelectasis [2, 3], increasing the risk of repetitive opening and closing of atelectatic lung tissue, so-called atelectrauma [1].
Eligibility criteria included acute onset of respiratory symptoms requiring non-invasive or invasive positive pressure support.
In severe cases, Non Invasive Positive Pressure Ventilation (NIPPV) or tracheostomy with assisted ventilation is an option [ 9].
Invasive positive pressure ventilation requires an ETT, the presence of which imposes additional WOB according to bore and inspiratory flow [ 10, 11].
ECMO has the unique potential to support gas exchange without causing further lung damage from invasive positive pressure ventilation (barotrauma) in adult patients with fulminant respiratory failure and may improve patient survival [ 21].
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Non-invasive positive pressure ventilation.
We compared non-invasive oxygen therapy like venturi mask, non-rebreathing mask and non-invasive positive pressure ventilation with HFNC.
Non-invasive (positive pressure) ventilation is an established treatment of respiratory failure; its role in treatment of sleep disordered breathing though remains controversial.
In adults with an acute exacerbation of chronic obstructive pulmonary disease (COPD) receiving non-invasive positive pressure ventilation (NIV), is intrapulmonary percussive ventilation (IPV) feasible?
For patients at high risk of respiratory failure after extubation, does the early implementation of non-invasive positive pressure ventilation (NPPV) avert respiratory failure and reduce mortality?
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