A Prospective Study on Effectiveness of Non- invasive Positive Pressure Ventilation in Acute Chronic Obstructive Pulmonary Disease
Background: Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. The chronic and progressive course of COPD is often punctuate by “exacerbations”, defined clinically as episodes of increasing respiratory symptoms, particularly dyspnoea, cough and sputum production, and increased sputum purulence. AIM: To study the effectiveness of non- invasive positive pressure ventilation in the management of acute exacerbation of chronic obstructive pulmonary disease.
Methods: Our study included 63 patients of acute exacerbation of COPD admitted in the intensive care unit of Shri Aurobindo Medical College and Post Graduate Institute, Indore, India.
Results: The maximum numbers of patients (46.03%) were in the age group between 61 to 70 years. In our study, the overall success rate in patients given noninvasive ventilation along with standard therapy was higher (95.2%) compared to patients given standard therapy alone (60.3%).
Conclusions: This proves that non-invasive ventilatory support is an effective tool in the management of acute exacerbation of COPD.
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