Non-Invasive Positive Pressure Ventilation Compared To Invasive Mechanical Ventilation Among Patients With COPD Exacerbations In An Inner City MICU – Predictors Of NPPV Use

Abstract

Introduction:Non-invasive positive pressure ventilation (NPPV) has been shown to be effective in selected patients with severe exacerbations of chronic obstructive pulmonary disease (COPD) and can obviate the need for mechanical ventilation, avoid the complications, and reduce Intensive Care Length of Stay. NPPV is increasingly used among patients with Acute Respiratory Failure (ARF), but is under-utilized. We studied the utilization of NPPV in patients with COPD exacerbations and impact on patient outcome at our MICU which is staffed 24/7 by intensivists.