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Nocturnal NIV in COPD Patients with Prolonged Hypercapnia After Ventilatory Support for Acute Respiratory Failure

  • Alberto Fernández Carmona
  • María Sevilla Martínez
  • Lorena Olivencia Peña
Chapter

Abstract

Home non-invasive ventilation for hypercapnic COPD patients despite being an extended therapy has been studied for years with heterogeneous results and until recently without clear documented benefits.

In this chapter, we will review this controversial topic, distinguishing between exacerbation and stable COPD. In addition, some comments and recommendations about ventilator settings and interfaces will be made.

Abbreviations

6MWD

Six-min-walk distance test

BMI

Body mass index

COPD

Chronic obstructive pulmonary disease

EPAP

Expired positive airway pressure

HI-NIV

High-intensity non-invasive ventilation

HRF

Hypercapnic respiratory failure

IPAP

Positive inspiratory airway pressure

LTNI

Long-term non-invasive positive pressure ventilation

LTOT

Long-term supplementary oxygen treatment

NIV

Non-invasive positive pressure ventilation

OSA

Obstructive sleep apnea

QoL

Quality of life

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Alberto Fernández Carmona
    • 1
  • María Sevilla Martínez
    • 1
  • Lorena Olivencia Peña
    • 1
  1. 1.Intensive Care UnitHospital Universitario Virgen de las NievesGranadaSpain

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