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spelling	AECOPD (acute exacerbation of chronic pulmonary disease) is a frequent motive of presentation to emergency services. When severe, it usually requires management at an intermediate or intensive care unit, where adequate monitoring and ventilatory assistance can be provided. A review was carried out of the literature on the evaluation, management, and follow-up of severe AECOPD, with emphasis on the rationale and indications of noninvasive mechanical ventilation (NIMV), as well as on the assessment of the patient once this therapy has been initiated. NIMV is currently the firstchoice treatment in patients with AECOPD with impending or actual hypercapnic ventilatory failure, and has shown significant benefits in terms of recovery and survival. It is important to supplement clinical evaluation with arterial blood gas analysis, which allows initial focusing and afterwards serves as a guideline for timely decisions. Cáceres, MD., Eder Duenas, MD., Rubén Poveda, MD., Marcela Buitrago, MD., Ricardo chronic obstructive pulmonary disease acute exacerbation noninvasive mechanical ventilation CPAP respiratory failure enfermedad pulmonar obstructiva crónica exacerbación aguda ventilación mecánica no invasiva CPAP falla respiratoria 23 2 Artículo de revista Journal article 2017-04-15T20:19:02Z 2017-04-15T20:19:02Z 2017-04-15 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/179 10.30789/rcneumologia.v23.n2.2011.179 https://doi.org/10.30789/rcneumologia.v23.n2.2011.179 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2017 48 54 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/179/168 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	AECOPD (acute exacerbation of chronic pulmonary disease) is a frequent motive of presentation to emergency services. When severe, it usually requires management at an intermediate or intensive care unit, where adequate monitoring and ventilatory assistance can be provided. A review was carried out of the literature on the evaluation, management, and follow-up of severe AECOPD, with emphasis on the rationale and indications of noninvasive mechanical ventilation (NIMV), as well as on the assessment of the patient once this therapy has been initiated. NIMV is currently the firstchoice treatment in patients with AECOPD with impending or actual hypercapnic ventilatory failure, and has shown significant benefits in terms of recovery and survival. It is important to supplement clinical evaluation with arterial blood gas analysis, which allows initial focusing and afterwards serves as a guideline for timely decisions.
author	Cáceres, MD., Eder Duenas, MD., Rubén Poveda, MD., Marcela Buitrago, MD., Ricardo
spellingShingle	Cáceres, MD., Eder Duenas, MD., Rubén Poveda, MD., Marcela Buitrago, MD., Ricardo chronic obstructive pulmonary disease acute exacerbation noninvasive mechanical ventilation CPAP respiratory failure enfermedad pulmonar obstructiva crónica exacerbación aguda ventilación mecánica no invasiva CPAP falla respiratoria
author_facet	Cáceres, MD., Eder Duenas, MD., Rubén Poveda, MD., Marcela Buitrago, MD., Ricardo
topic	chronic obstructive pulmonary disease acute exacerbation noninvasive mechanical ventilation CPAP respiratory failure enfermedad pulmonar obstructiva crónica exacerbación aguda ventilación mecánica no invasiva CPAP falla respiratoria
topic_facet	chronic obstructive pulmonary disease acute exacerbation noninvasive mechanical ventilation CPAP respiratory failure enfermedad pulmonar obstructiva crónica exacerbación aguda ventilación mecánica no invasiva CPAP falla respiratoria
topicspa_str_mv	enfermedad pulmonar obstructiva crónica exacerbación aguda ventilación mecánica no invasiva CPAP falla respiratoria
citationvolume	23
citationissue	2
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/179
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2017 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2017-04-15
date_accessioned	2017-04-15T20:19:02Z
date_available	2017-04-15T20:19:02Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/179
url_doi	https://doi.org/10.30789/rcneumologia.v23.n2.2011.179
issn	0121-5426
eissn	2538-9513
doi	10.30789/rcneumologia.v23.n2.2011.179
citationstartpage	48
citationendpage	54
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/179/168
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