Audit on non-invasive ventilation (NIV) in acute hypercapnic respiratory failure along with an introduction of proforma for acute NIV prescription

Hypercapnic respiratory failure is a cause of significant morbidity. It occurs in 20% patients who are admitted with exacerbation chronic obstructive pulmonary disease. Non-Invasive-Ventilation (NIV) mandatory treatment modality for them. The timely and accurate commencement along the appropriate maintenance weaning NIV crucial. In this audit cohort, most acute-NIV standards were not met as per British Thoracic Society recommendations. Late detection, poor knowledge acute NIV-Protocol, has led to these suboptimal cohort. Therefore, we have suggested an NIV-Proforma overcome them expecting good outcome.