Noninvasive ventilation in stable hypercapnic COPD: what is the evidence?
Long-term noninvasive ventilation (NIV) to treat chronic hypercapnic respiratory failure is still controversial in severe chronic obstructive pulmonary disease (COPD) patients. However, with the introduction of high-intensity NIV, important benefits from this therapy have also been shown in COPD. In...
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| Format: | Article |
| Language: | English |
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European Respiratory Society
2018-04-01
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| Series: | ERJ Open Research |
| Online Access: | http://openres.ersjournals.com/content/4/2/00012-2018.full |
| _version_ | 1811242054618972160 |
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| author | Marieke L. Duiverman |
| author_facet | Marieke L. Duiverman |
| author_sort | Marieke L. Duiverman |
| collection | DOAJ |
| description | Long-term noninvasive ventilation (NIV) to treat chronic hypercapnic respiratory failure is still controversial in severe chronic obstructive pulmonary disease (COPD) patients. However, with the introduction of high-intensity NIV, important benefits from this therapy have also been shown in COPD. In this review, the focus will be on the arguments for long-term NIV at home in patients with COPD. The rise of (high-intensity) NIV in COPD and the randomised controlled trials showing positive effects with this mode of ventilation will be discussed. Finally, the challenges that might be encountered (both in clinical practice and in research) in further optimising this therapy, monitoring and following patients, and selecting the patients who might benefit most will be reviewed. |
| first_indexed | 2024-04-12T13:46:15Z |
| format | Article |
| id | doaj.art-f7713fc2d22b46c5940332d1cd73359a |
| institution | Directory Open Access Journal |
| issn | 2312-0541 |
| language | English |
| last_indexed | 2024-04-12T13:46:15Z |
| publishDate | 2018-04-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | ERJ Open Research |
| spelling | doaj.art-f7713fc2d22b46c5940332d1cd73359a2022-12-22T03:30:40ZengEuropean Respiratory SocietyERJ Open Research2312-05412018-04-014210.1183/23120541.00012-201800012-2018Noninvasive ventilation in stable hypercapnic COPD: what is the evidence?Marieke L. Duiverman0 Dept of Pulmonary Diseases/Home Mechanical Ventilation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands Long-term noninvasive ventilation (NIV) to treat chronic hypercapnic respiratory failure is still controversial in severe chronic obstructive pulmonary disease (COPD) patients. However, with the introduction of high-intensity NIV, important benefits from this therapy have also been shown in COPD. In this review, the focus will be on the arguments for long-term NIV at home in patients with COPD. The rise of (high-intensity) NIV in COPD and the randomised controlled trials showing positive effects with this mode of ventilation will be discussed. Finally, the challenges that might be encountered (both in clinical practice and in research) in further optimising this therapy, monitoring and following patients, and selecting the patients who might benefit most will be reviewed.http://openres.ersjournals.com/content/4/2/00012-2018.full |
| spellingShingle | Marieke L. Duiverman Noninvasive ventilation in stable hypercapnic COPD: what is the evidence? ERJ Open Research |
| title | Noninvasive ventilation in stable hypercapnic COPD: what is the evidence? |
| title_full | Noninvasive ventilation in stable hypercapnic COPD: what is the evidence? |
| title_fullStr | Noninvasive ventilation in stable hypercapnic COPD: what is the evidence? |
| title_full_unstemmed | Noninvasive ventilation in stable hypercapnic COPD: what is the evidence? |
| title_short | Noninvasive ventilation in stable hypercapnic COPD: what is the evidence? |
| title_sort | noninvasive ventilation in stable hypercapnic copd what is the evidence |
| url | http://openres.ersjournals.com/content/4/2/00012-2018.full |
| work_keys_str_mv | AT mariekelduiverman noninvasiveventilationinstablehypercapniccopdwhatistheevidence |