Non-invasive mechanical ventilation in COPD

Treatment of COPD include many pharmacological and non pharmacological interventions but still smoking cessation is the most important action. The main stay of pharmacological treatment is inhaled bronchodilators and inhaled steroids if FEV1 less than 50%. The non pharmacological interventions include quit smoking, pulmonary rehabilitation, Non invasive mechanical ventilation (NIMV) and surgical procedures (lung volume reduction surgery, bullectomy, lung transplantation) together with nutritional, social and psychiatric management [2,3].