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Randomized Controlled Trial
Early prehospital use of non-invasive ventilation improves acute respiratory failure in acute exacerbation of chronic obstructive pulmonary disease.
- Willi Schmidbauer, Olaf Ahlers, Claudia Spies, Anke Dreyer, Georg Mager, and Thoralf Kerner.
- Department of Emergency Medicine, Bundeswehrkrankenhaus Berlin, Berlin, Germany.
- Emerg Med J. 2011 Jul 1;28(7):626-7.
AimTo evaluate the use of prehospital non-invasive ventilation (NIV) in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods36 adult patients were treated by prehospital NIV or standard oxygen therapy.ResultsPrehospital NIV was described as feasible by the paramedics. Prehospital improvement of respiratory rate and dyspnoea was significantly better and the length of intensive care was significantly lower in NIV patients.ConclusionPrehospital NIV can be managed by a trained emergency team with high but sustainable workload. Dyspnoea and length of intensive care may be significantly reduced.Clinical Trial Registration NumberISRCTN47620321.
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