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ANALIZAN EL USO DE VENTILACION NO INVASIVA EN LAS EXACERBACIONES DE LA EPOC

(especial para SIIC © Derechos reservados)
Esta revisión se centra en los recientes avances en el uso de ventilación no invasiva para el tratamiento de la reagudización de la insuficiencia respiratoria crónica debida a exacerbaciones de la enfermedad pulmonar obstructiva crónica.
ambrosino9_80610.jpg Autor:
Nicolas Ambrosino
Columnista Experto de SIIC

Institución:
University Hospital Pisa

Artículos publicados por Nicolas Ambrosino
Coautor
Adriano Di Paco* 
Auxilium Vitae, Volterra, Italia*
Recepción del artículo
26 de Abril, 2010 		Aprobación
24 de Septiembre, 2010
Primera edición
17 de Enero, 2011 		Segunda edición, ampliada y corregida
7 de Junio, 2021

ANALIZAN EL USO DE VENTILACION NO INVASIVA EN LAS EXACERBACIONES DE LA EPOC

Resumen
Introducción: Las exacerbaciones agudas de la enfermedad pulmonar obstructiva crónica son eventos relevantes en la evolución natural de esa entidad. Antecedentes: Existen pruebas sólidas para el uso de la ventilación no invasiva (VNI) para evitar la intubación endotraqueal y para facilitar la extubación de los pacientes con exacerbaciones agudas de la EPOC. Hay menos datos que avalen esta modalidad para las exacerbaciones asmáticas. Resultados y conclusiones: La VNI debería aplicarse bajo un riguroso monitoreo clínico y fisiológico para detectar signos de insuficiencia respiratoria y con disponibilidad inmediata para la intubación. Un equipo entrenado, una cuidadosa selección de los pacientes y una elección adecuada de los instrumentos, pueden optimizar los resultados de la VNI.

Palabras clave
insuficiencia respiratoria aguda, EPOC, ventilación mecánica, ventilación no invasiva, intubación endotraqueal


Artículo completo
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Non-Invasive Positive Pressure Ventilation in Acute Respiratory Failure Due to COPD Acute Exacerbation

Abstract
Introduction: acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are relevant events in the natural course of disease. Background: there is strong evidence that the use of non-invasive mechanical ventilation (NIV) prevents endotracheal intubation and facilitates extubation in patients with AECOPD. Less evidence supports this modality in exacerbations of asthma. Results and conclusions: NIV should be applied under close clinical and physiological monitoring for signs of treatment failure with availability of prompt intubation. A trained team, careful patient selection and optimal choice of devices can optimize outcome of NIV.

Key words
acute respiratory failure, COPD, mechanical ventilation, non-invasive ventilation, endo-tracheal intubation


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Especialidades
Principal: Medicina Interna, Neumonología
Relacionadas: Cardiología, Cuidados Intensivos, Farmacología, Geriatría



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Enviar correspondencia a:
Nicolas Ambrosino, Azienda Ospedaliero-Universitaria Pisana Dipartimento Cardio-Toracico U.O. Pneumologia, 56124, Via Paradisa 2, Pisa, Italia
Bibliografía del artículo


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