How to ventilate obstructive and asthmatic patients.
Alexandre DemouleLaurent BrochardMartin DresLeo HeunksAmal JubranFranco LaghiArmand Mekontso-DessapStefano NavaLamia Ouanes-BesbesOscar PeñuelasLise PiquilloudTheodoros VassilakopoulosJordi ManceboPublished in: Intensive care medicine (2020)
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.
Keyphrases
- mechanical ventilation
- respiratory failure
- acute respiratory distress syndrome
- intensive care unit
- chronic obstructive pulmonary disease
- extracorporeal membrane oxygenation
- cystic fibrosis
- cardiac arrest
- end stage renal disease
- lung function
- ejection fraction
- chronic kidney disease
- liver failure
- risk assessment
- drug induced
- hepatitis b virus
- human health
- cardiac surgery