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NIV in COPD- Guidelines. Non-Invasive Ventilation In Acute Respiratory Failure Thorax 2002; 57: 192-211Non-Invasive Ventilation In Chronic Obstructive Pulmonary Disease: Management of Acute Type 2 Respiratory Failure.A series of Evidenced Based guidelines for Clinical Management. Number 11 Octobe
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1. NIV in COPD By Sandra Turner
Physiotherapy Lead for LCH
2. NIV in COPD- Guidelines Non-Invasive Ventilation In Acute Respiratory Failure
Thorax 2002; 57: 192-211
Non-Invasive Ventilation In Chronic Obstructive Pulmonary Disease: Management of Acute Type 2 Respiratory Failure.
A series of Evidenced Based guidelines for Clinical Management. Number 11 October 2008.
3. NIV in COPD
Non-invasive ventilation (NIV) refers to the provision of ventilatory support through the patients upper airway using a mask or similar device.
BTS Guidelines. Thorax 2002.
4. NIV in COPD
Acidosis is an important prognostic factor for survival after Respiratory Failure in COPD, and thus early correction of acidosis is an essential goal of treatment.
Jeffrey et al 1992
5. NIV in COPD ABGs / Type 2 Respiratory Failure.
Frequency of admissions
Severity of exacerbations
Intolerance of oxygen
Palliation
6. NIV in COPD
Correct gas exchange abnormalities
Reduce work of breathing
Improve alveolar minute ventilation
7. COPD in NIV Patient journey
Investigations during admission
Ongoing care
8. COPD in NIV Follow up in Clinic at least twice yearly
ABGs
Contact details and access
Machine service yearly.
9. NIV in COPD Leaks / Mouth Leak
Feeling Unwell
Pressure Sores
Headgear issues
Sore or dry eyes
Nasal congestion, dry nose or increased mucus
Abdominal distension.