How to ventilate obstructive and asthmatic patients.

Details

Serval ID
serval:BIB_4DEF070E721D
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
How to ventilate obstructive and asthmatic patients.
Journal
Intensive care medicine
Author(s)
Demoule A., Brochard L., Dres M., Heunks L., Jubran A., Laghi F., Mekontso-Dessap A., Nava S., Ouanes-Besbes L., Peñuelas O., Piquilloud L., Vassilakopoulos T., Mancebo J.
ISSN
1432-1238 (Electronic)
ISSN-L
0342-4642
Publication state
Published
Issued date
12/2020
Peer-reviewed
Oui
Volume
46
Number
12
Pages
2436-2449
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Exacerbations are part of the natural history of chronic obstructive pulmonary disease and asthma. Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies intended to prevent post-extubation acute respiratory failure. The role of tracheostomy, the long-term prognosis, and potential future adjunctive strategies are also discussed. Finally, the physiological background that underlies these strategies is detailed.
Keywords
Asthma, Chronic obstructive pulmonary disease, Intrisic positive end-expiratory pressure (PEEP), Mechanical ventilation, Non-invasive ventilation, Weaning
Pubmed
Web of science
Open Access
Yes
Create date
16/11/2020 14:40
Last modification date
18/12/2020 6:26
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