A STUDY TO ASSESS THE EFFICACY OF NON-INVASIVE VENTILATION IN ACUTE EXACERBATION OF COPD WITH ACUTE RESPIRATORY FAILURE

Diyya Sudheer; P. Ranjit Basha; P. V. Sivaram; K. Rajendra Kumar

Volume : VIII, Issue : VI, June - 2019

A STUDY TO ASSESS THE EFFICACY OF NON-INVASIVE VENTILATION IN ACUTE EXACERBATION OF COPD WITH ACUTE RESPIRATORY FAILURE

Diyya Sudheer, P. Ranjit Basha, P. V. Sivaram, K. Rajendra Kumar

Abstract :

OBJECTIVE: To assess the efficacy of non–invasive ventilation in acute exacerbation of COPD with acute respiratory failure. MATERIALS AND METHODS: The Present prospective study carried out at the Department of Pulmonary Medicine, Guntur Medical College, Guntur between January 2017 to June 2018. A Total of 42 patients with acute exacerbation of COPD with acute respiratory distress are included into the study. RESULTS: In the present study, out of the 42 patients, 32 patients improved after NIV initiation had correction and improvement of the ABG parameters like pH, PaCO2 and hemodynamic variables like PR, BP, RR within first one hour. The patients who improved with NIV (n=32) had a decrease in duration of hospital stay than the patients requiring invasive ventilation (n=6). CONCLUSION: Non–Invasive Ventilation is a promising therapeutic modality for patients with acute exacerbation of COPD with acute respiratory failure and its timely institution leads to an early and effective improvement in the pH, PaCO2.