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Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge.

Publication ,  Journal Article
Gudivada, SD; Rajasurya, V; Spector, AR
Published in: Chest
December 2020

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.

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Published In

Chest

DOI

EISSN

1931-3543

Publication Date

December 2020

Volume

158

Issue

6

Start / End Page

2524 / 2531

Location

United States

Related Subject Headings

  • Respiratory System
  • Respiratory Insufficiency
  • Positive-Pressure Respiration
  • Patient Selection
  • Patient Discharge Summaries
  • Patient Discharge
  • Patient Acuity
  • Noninvasive Ventilation
  • Humans
  • Home Care Services
 

Citation

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Gudivada, S. D., Rajasurya, V., & Spector, A. R. (2020). Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge. Chest, 158(6), 2524–2531. https://doi.org/10.1016/j.chest.2020.08.014
Gudivada, Shravana Deepthi, Venkat Rajasurya, and Andrew R. Spector. “Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge.Chest 158, no. 6 (December 2020): 2524–31. https://doi.org/10.1016/j.chest.2020.08.014.
Gudivada SD, Rajasurya V, Spector AR. Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge. Chest. 2020 Dec;158(6):2524–31.
Gudivada, Shravana Deepthi, et al. “Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge.Chest, vol. 158, no. 6, Dec. 2020, pp. 2524–31. Pubmed, doi:10.1016/j.chest.2020.08.014.
Gudivada SD, Rajasurya V, Spector AR. Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge. Chest. 2020 Dec;158(6):2524–2531.

Published In

Chest

DOI

EISSN

1931-3543

Publication Date

December 2020

Volume

158

Issue

6

Start / End Page

2524 / 2531

Location

United States

Related Subject Headings

  • Respiratory System
  • Respiratory Insufficiency
  • Positive-Pressure Respiration
  • Patient Selection
  • Patient Discharge Summaries
  • Patient Discharge
  • Patient Acuity
  • Noninvasive Ventilation
  • Humans
  • Home Care Services