• Chest · Jun 2024

    Review

    How I Do It Applying non-invasive ventilation in treatment of acute exacerbation of chronic obstructive pulmonary disease using evidence-based interprofessional clinical practice.

    • Mary Jo S Farmer, Christine D Callahan, Ashley M Hughes, Karen L Riska, and Nicholas S Hill.
    • Department of Medicine, Pulmonary & Critical Care Division, UMASS Chan Medical School-Baystate, Springfield, MA. Electronic address: maryjo_farmer@yahoo.com.
    • Chest. 2024 Jun 1; 165 (6): 146914801469-1480.

    AbstractWhen administered as first-line intervention to patients admitted with acute hypercapnic respiratory failure secondary to COPD exacerbation in conjunction with guideline-recommended therapies, noninvasive ventilation (NIV) has been shown to reduce mortality and endotracheal intubation. Opportunities to increase uptake of NIV continue to exist despite inclusion of this therapy in clinical guidelines. Identifying patients appropriate for NIV, and subsequently providing close monitoring to determine an improvement in clinical condition involves a team consisting of physician, nurse, and respiratory therapist in institutions that successfully implement NIV. We describe to our knowledge the first known evidence-based algorithm speaking to initiation, titration, monitoring, and weaning of NIV in treatment of acute exacerbation of COPD that incorporates the necessary interprofessional collaboration among physicians, nurses, and respiratory therapists caring for these patients.Copyright © 2024 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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