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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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  SMART 2005 - Milan, May 11-13, 2005


Minerva Anestesiologica 2005 June;71(6):249-53

language: English

NIV treatment for acute exacerbation in COPD patients

Conti G. 1, Costa R. 1, Craba A. 1, Tafani C. 1, Iemma D. 1, Pellegrini A. 1, Morelli A. 2

1 Department of Anesthesia and Resuscitation Sacro Cuore Catholic University, Rome, Italy
2 Department of Anesthesia and Resuscitation La Sapienza University, Rome, Italy


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The authors review the clinical applications of non invasive ventilation (NIV) in patients with chronic obstructive pulmonary disease (COPD), mostly focusing on NIV issues and possible solutions. After briefly reviewing the respiratory mechanics modification during an episode of COPD exacerbation, the authors describe the two crucial technical aspects (choice of the interface and leaks control) that are mostly involved in patient-ventilator interaction. Finally, they briefly review the most important clinical trials on NIV.

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