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Noninvasive Ventilation in the Elderly Patient With COPD

Noninvasive Ventilation in the Elderly Patient With COPD

Maria do Céu Mendes Pinto Marques, Ana Patricia Miguel, Carla Pinho, Solange Vieira Mega, Sónia Isabel Carmo, Marlene Silvestre
Copyright: © 2020 |Pages: 18
ISBN13: 9781799835318|ISBN10: 1799835316|EISBN13: 9781799835325
DOI: 10.4018/978-1-7998-3531-8.ch005
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MLA

Marques, Maria do Céu Mendes Pinto, et al. "Noninvasive Ventilation in the Elderly Patient With COPD." Noninvasive Ventilation Technologies and Healthcare for Geriatric Patients, edited by César Fonseca, et al., IGI Global, 2020, pp. 69-86. https://doi.org/10.4018/978-1-7998-3531-8.ch005

APA

Marques, M. D., Miguel, A. P., Pinho, C., Mega, S. V., Carmo, S. I., & Silvestre, M. (2020). Noninvasive Ventilation in the Elderly Patient With COPD. In C. Fonseca, M. Lopes, D. Mendes, J. Garcia-Alonso, & F. Mendes (Eds.), Noninvasive Ventilation Technologies and Healthcare for Geriatric Patients (pp. 69-86). IGI Global. https://doi.org/10.4018/978-1-7998-3531-8.ch005

Chicago

Marques, Maria do Céu Mendes Pinto, et al. "Noninvasive Ventilation in the Elderly Patient With COPD." In Noninvasive Ventilation Technologies and Healthcare for Geriatric Patients, edited by César Fonseca, et al., 69-86. Hershey, PA: IGI Global, 2020. https://doi.org/10.4018/978-1-7998-3531-8.ch005

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Abstract

The objective of this chapter is to identify the latest evidence on the elderly critical patient with chronic obstructive pulmonary disease. Nine articles were analysed. The effectiveness of NIV has been demonstrated in cases of elderly critically ill patients with acute COPD. Evidence has been shown to decrease hospital stay and mortality, although long-term survival has been shown to be short. The prediction of NIV failure is multifactorial, including very old age, comorbidities, low analytical values of albumin, simplified severity index II, pH < 7.3 of arterial blood, PaCO2 (Carbon Dioxide Pressure) < 45 mmHg, CAT (COPD Assessment Test) elevated, Glasgow Coma Scale < 11, and APACHE II (Acute Physiology and Chronic Health Evaluation) 29. NIV has demonstrated efficacy in elderly patients in situations of acute COPD.

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