ICU SAQs · Respiratory / ventilation
Non-invasive ventilation for an acidotic COPD exacerbation
A CICM SAQ on the acidotic COPD exacerbation — NIV first-line (Plant), settings, controlled oxygen, treatment of the cause, the one-hour reassessment, and escalation.
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Prompt
A 70-year-old with an acute exacerbation of COPD has a pH of 7.28 and a PaCO2 of 75 mmHg. Outline your management, including the role of non-invasive ventilation.
Question
A 70-year-old with an acute exacerbation of COPD has a pH of 7.28 and a PaCO2 of 75 mmHg. Outline your management, including the role of non-invasive ventilation.
[1]References3ShowHide
- [1]Plant PK, Owen JL, Elliott MW. Early use of non-invasive ventilation for acute exacerbations of COPD (Plant trial). Lancet, 2000.PMID 10859037
- [2]Gray A, Goodacre S, Newby DE, et al. Noninvasive ventilation in acute cardiogenic pulmonary edema (3CPO). New England Journal of Medicine, 2008.PMID 18614781
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.