Which patients have a higher risk of failure with noninvasive ventilation (NIV) in chronic obstructive pulmonary disease (COPD)?

Updated: Jun 18, 2020
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Answer

Local experience and expertise also play significant roles in determining the successful limits of noninvasive ventilation in COPD patients. Patients who are not cooperative and have a pH that approaches 7.20 must be evaluated with caution because they have a higher risk of failure with noninvasive ventilation and would therefore benefit from earlier intubation (if an option), especially if they do not respond to a short trial of noninvasive ventilation.


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