Role of noninvasive ventilation in weaning a patient of chronic obstructive pulmonary disease with persistent hypercapnoea from mechanical ventilation

Suresh Kumar; Don Sabastion; Anand T  Talikoti; Ravi M; Dinesh K; Ramesh Kumar P B

doi:10.58739/jcbs/v04i2.7

Article

Role of noninvasive ventilation in weaning a patient of chronic obstructive pulmonary disease with persistent hypercapnoea from mechanical ventilation

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Journal of Clinical and Biomedical Sciences

DOI: 10.58739/jcbs/v04i2.7

Year: 2014, Volume: 4, Issue: 2, Pages: 294-296

Case Report

Role of noninvasive ventilation in weaning a patient of chronic obstructive pulmonary disease with persistent hypercapnoea from mechanical ventilation

Suresh Kumar, Don Sabastion, Anand T. Talikoti, Ravi M*, Dinesh K, Ramesh Kumar P B

Department of Anesthesiology, Sri Devaraj Urs Medical College , Kolar, Karnataka, India

*Corresponding Author
E mail : ravijaggu @gmail.com

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Patients of chronic obstructive pulmonary disease (COPD) presenting with type 2 respiratory failure often require mechanical ventilation. These patients usually end up in prolonged ventilation, ill effects of prolonged intubation and high chances of weaning failure. We are presenting a case of COPD with persistent hypercapnoea who had failed extubation. Patient was later extubated on to noninvasive ventilation (NIV), started on acetazolamide and was weaned from NIV over a couple of days.

Key words: : Noninvasive ventilation, Hypercapnoea, Acetazolamide.