British Thoracic Society/Intensive Care Society Guideline for the ventilatory management of acute hypercapnic respiratory failure in adults

@article{Davidson2016BritishTS,
  title={British Thoracic Society/Intensive Care Society Guideline for the ventilatory management of acute hypercapnic respiratory failure in adults},
  author={C. Davidson and Stephen R. Banham and M. Elliott and Daniel Kennedy and C. Gelder and A. Glossop and C. Church and B. Creagh-Brown and J. Dodd and T. Felton and B. Fo{\"e}x and L. Mansfield and L. McDonnell and R. Parker and C. Patterson and M. Sovani and Lynn Thomas},
  journal={BMJ Open Respiratory Research},
  year={2016},
  volume={3}
}
The British Thoracic Society (BTS) published the guideline ‘The use of non-invasive ventilation in acute respiratory failure’ in 2002.1 This was in response to trials that had demonstrated that non-invasive ventilation (NIV) was an alternative to invasive mechanical ventilation (IMV) in life-threatening respiratory acidosis due to acute exacerbations of chronic obstructive pulmonary disease (AECOPD). It drew attention to evidence that, when NIV was used in the less severely unwell patient, it… Expand
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Outcome of Frail Do-Not-Intubate Subjects With End-Stage Chronic Respiratory Failure and Their Opinion of Noninvasive Ventilation to Reverse Hypercapnic Coma
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BTS/ICS guideline for the ventilatory management of acute hypercapnic respiratory failure in adults
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TLDR
Non-invasive positive ventilation has undergone a remarkable evolution over the past decades and is assuming an important role in the management of both acute and chronic respiratory failure, with improvement in gas exchange, relief of respiratory muscle fatigue, and clinical outcome with reduced morbidity and mortality. Expand
Acidosis, non-invasive ventilation and mortality in hospitalised COPD exacerbations
TLDR
The national chronic obstructive pulmonary disease (COPD) audit confirms the high mortality associated with acute hypercapnic respiratory failure (AHRF) in COPD, particularly in severely acidotic patients and suggests NIV is often used in patients with no chance of survival. Expand
Non-invasive ventilation in acute respiratory failure
TLDR
Non-invasive mechanical ventilation has been increasingly used to avoid or serve as an alternative to intubation and in some instances with invasive mechanical ventilation, it improves survival and reduces complications in selected patients with acute respiratory failure. Expand
Towards a Comprehensive Ventilatory Strategy for Acute Exacerbations of COPD
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It is suggested that access to life-saving treatment ‐ intubation in severe respiratory failure ‐ continues to be limited in the UK because of a perception that prognosis is poor, both for survival in the ICU and for subsequent quantity and quality of life. Expand
One year period prevalence study of respiratory acidosis in acute exacerbations of COPD: implications for the provision of non-invasive ventilation and oxygen administration
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Modelling the need for NIV for all COPD patients indicates that a typical UK hospital will admit 90 patients per year with acidosis of which 72 will require NIV, from which a typical district general hospital was modelled. Expand
Characteristics and outcome for admissions to adult, general critical care units with acute severe asthma: a secondary analysis of the ICNARC Case Mix Programme Database
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ICU admission for asthma is relatively uncommon but remains associated with appreciable in-hospital mortality, and the greatest determinant of poor hospital survival in asthma patients was receipt of CPR within 24 hours before admission to ICU. Expand
BMJ Open Resp Res
  • BMJ Open Resp Res
  • 2016
British Thoracic Society/Intensive Care Society Guideline for the ventilatory management of acute hypercapnic respiratory failure in adults
  • Thorax
  • 2016
British Thoracic Society/Intensive Care Society Guideline for the ventilatory management of acute hypercapnic respiratory failure in adults 2016
  • Thorax 71:ii1–ii35
  • 2016
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