Author: Demoule, Alexandre; Brochard, Laurent; Dres, Martin; Heunks, Leo; Jubran, Amal; Laghi, Franco; Mekontso-Dessap, Armand; Nava, Stefano; Ouanes-Besbes, Lamia; Peñuelas, Oscar; Piquilloud, Lise; Vassilakopoulos, Theodoros; Mancebo, Jordi
Title: How to ventilate obstructive and asthmatic patients Cord-id: bb1173rt Document date: 2020_11_9
ID: bb1173rt
Snippet: Exacerbations are part of the natural history of chronic obstructive pulmonary disease and asthma. Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies
Document: Exacerbations are part of the natural history of chronic obstructive pulmonary disease and asthma. Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies intended to prevent post-extubation acute respiratory failure. The role of tracheostomy, the long-term prognosis, and potential future adjunctive strategies are also discussed. Finally, the physiological background that underlies these strategies is detailed.
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