Hadda Vijay, Shah Tajamul Hussain, Madan Karan, Mohan Anant, Khilnani Gopi C, Guleria Randeep
Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India.
Lung India. 2018 Jan-Feb;35(1):62-65. doi: 10.4103/lungindia.lungindia_97_17.
Patient-ventilator asynchrony is common with noninvasive ventilation (NIV) used for management of acute exacerbation of chronic obstructive pulmonary disease (COPD). Neurally adjusted ventilator assist (NAVA) is a mode of ventilatory support which can minimize the patient-ventilator asynchrony. Delivering NIV with NAVA (NIV-NAVA) during acute exacerbation of COPD seems a logical approach and may be useful in reducing patient-ventilator asynchrony. However, there are no published reports which describe the use of NIV-NAVA for management of acute exacerbation of COPD. We describe the successful management of a 56-year-old gentleman presenting to the emergency department of our hospital with acute exacerbation of COPD with hypercapnic respiratory failure with NIV-NAVA.
在用于慢性阻塞性肺疾病（COPD）急性加重期治疗的无创通气（NIV）中，患者 - 呼吸机不同步很常见。神经调节通气辅助（NAVA）是一种通气支持模式，可将患者 - 呼吸机不同步降至最低。在COPD急性加重期采用NAVA进行无创通气（NIV - NAVA）似乎是一种合理的方法，可能有助于减少患者 - 呼吸机不同步。然而，尚无已发表的报告描述NIV - NAVA用于COPD急性加重期的治疗情况。我们描述了一名56岁男性患者，因COPD急性加重伴高碳酸血症性呼吸衰竭到我院急诊科就诊，采用NIV - NAVA成功治疗的病例。
