Helmet-based noninvasive ventilation for acute exacerbation of chronic obstructive pulmonary disease: A case report

World Journal of Clinical Cases
Mi Hwa ParkJung-Soo Kim

Abstract

Noninvasive ventilation (NIV) reduces intubation rates, mortalities, and lengths of hospital and intensive care unit stays in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Helmet-based NIV is better tolerated than oronasal mask-based ventilation, and thus, allows NIV to be conducted for prolonged periods at higher pressures with minimal air leaks. A 73-year-old man with a previous diagnosis of COPD stage 4 was admitted to our medical intensive care unit with chief complaints of cough, sputum, and dyspnea of several days' duration. For 10 mo, he had been on oxygen at home by day and had used an oronasal mask-based NIV at night. At intensive care unit admission, he breathed using respiratory accessory muscles. Hypercapnia and signs of infection were detected, and infiltration was observed in the right lower lung field by chest radiography. Thus, we diagnosed AECOPD by community-acquired pneumonia. After admission, respiratory distress steadily deteriorated and invasive mechanical ventilation became necessary. However, the patient refused this option, and thus, we selected helmet-based NIV as a salvage treatment. After 3 d of helmet-based NIV, his consciousness level and hypercapnia recovered ...Continue Reading

References

Jun 11, 2003·The European Respiratory Journal. Supplement·S Burge, J A Wedzicha
May 18, 2013·Critical Care : the Official Journal of the Critical Care Forum·Antonio M Esquinas RodriguezDavide Chiumello
Sep 14, 2016·International Journal of Chronic Obstructive Pulmonary Disease·Marta ErdalRune Grønseth
Mar 17, 2017·The European Respiratory Journal·Jadwiga A WedzichaJerry A Krishnan
Sep 2, 2017·The European Respiratory Journal·Bram RochwergSuhail Raoof
Mar 16, 2018·European Respiratory Review : an Official Journal of the European Respiratory Society·Christian Viniol, Claus F Vogelmeier
Apr 11, 2018·BMJ Open Respiratory Research·Michael DaviesIan Setchfield
Oct 6, 2018·Mayo Clinic Proceedings·Shireen MirzaPaul D Scanlon

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