Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge.
Journal Article (Journal Article;Review)
When and how do I qualify inpatients with acute on chronic hypercapnic respiratory failure for home noninvasive positive-pressure ventilation at the time of discharge? A 44-year-old woman with morbid obesity (BMI, 48) was brought to the hospital by her boyfriend for 1 day of confusion and reduced alertness. She had a history of chronic dyspnea on exertion and 10-pack-years of smoking. She also had history of well-treated diabetes and hypertension. In the ER, she was found to be somnolent but arousable and following commands appropriately. Her oxygen saturation was 86% on room air, and arterial blood gases indicated a pH of 7.16 with a Paco2 of 87 mm Hg, a Pao2 of 60 mm Hg, and a bicarbonate of 42 mEq/L. Chest radiograph showed mild pulmonary vascular congestion. She was started on continuous bilevel positive airway pressure and medical therapy, with clinical improvement.
Full Text
Duke Authors
Cited Authors
- Gudivada, SD; Rajasurya, V; Spector, AR
Published Date
- December 2020
Published In
Volume / Issue
- 158 / 6
Start / End Page
- 2524 - 2531
PubMed ID
- 32798519
Electronic International Standard Serial Number (EISSN)
- 1931-3543
Digital Object Identifier (DOI)
- 10.1016/j.chest.2020.08.014
Language
- eng
Conference Location
- United States