Noninvasive ventilation for acute hypercapnic respiratory failure: is it the same as in hypercapnic coma?

Abstract:

I have read with interest the original article entitled,“Noninvasive ventilation for acute hypercapnic respiratory failure: intubation rate in an experienced unit.” 1 In this paper, the authors prospectively evaluated 242 patients who received noninvasive ventilation (NIV) for acute hypercapnic respiratory failure in the presence of COPD or other causes not associated with COPD and for acute hypercapnic respiratory failure in the absence of chronic obstructive diseases. The authors found severe hypoxemia as an independent factor of failure in hypercapnic patients from any source. Alterations at the sensory level have been reported, and ventilatory settings do not influence the results. I have some remarks on this study. The authors reported 31 (12.8% of all patients studied) hypercapnic coma patients either on admission (15 patients) or during the first 24 h (16 patients). The management of hypercapnic coma patients …

Año de publicación:

2014

Keywords:

Fuente:

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