Yes. In selected patients with hypercapnic respiratory failure due to an acute exacerbation of chronic obstructive pulmonary disease (COPD), noninvasive positive pressure ventilation (NIPPV) is an effective adjunct to usual medical therapy. In controlled trials, it reduced the need for endotracheal intubation, the length of hospital stay, and the risk of death. Acute COPD exacerbations are resp...

Introduction Oxygen therapy is generally provided via nasal cannula, non-rebreathing masks and masks with reservoir bags. These devices have various limitations. Despite showing clear benefits in certain conditions, non-invasive positive pressure ventilation (NIPPV) limits mobilization, restricts communication and oral nutrition and is poorly tolerated by some patients due to discomfort. High-f...

Background: Application noninvasive ventilation in the patients with exacerbation of chronic obstructive pulmonary disease (COPD) reduced mortality. This case-control study was designed to compare efficiency and outcome of non-invasive (NIV) versus invasive positive pressure ventilation (IPPV) in respiratory failure due to COPD Methods: The patients were assigned to NIV or IPPV intermittantl...

NIPPV: noninvasive positive pressure ventilation INTRODUCTION Ecthyma is an invasive form of impetigo that penetrates deep into the dermis. This cutaneous infection is characterized by a crusted papule or plaque beneath which a deep ulcer forms. Although typically associated with group A b-hemolytic streptococci, other pathogens have the ability to produce an ecthyma. Here we present a case of ...

STUDY OBJECTIVE We investigate a new technique for the emergency airway management of patients with altered mental status preventing adequate preoxygenation. METHODS This was a prospective, observational, multicenter study of patients whose medical condition led them to impede optimal preintubation preparation because of delirium. A convenience sample of emergency department and ICU patients ...