scholarly journals Combined use of extracorporeal carbon dioxide removal (ECCO2-R) and Noninvasive Mechanical Ventilation in hypercapnic acute respiratory failure due to COPD exacerbations in patients at risk of NIMV failure: a rationale of use

2018 ◽  
Vol 1 (1) ◽  
pp. 3-4
Author(s):  
V Bocchino ◽  
F Squillante ◽  
G Mazzarella ◽  
C Schettini
Keyword(s):  
Carbon Dioxide ◽  
Mechanical Ventilation ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Noninvasive Mechanical Ventilation ◽  
Extracorporeal Carbon Dioxide Removal ◽  
Copd Exacerbations ◽  
Combined Use ◽  
Patients At Risk ◽  
Hypercapnic Acute Respiratory Failure

scholarly journals Noninvasive Mechanical Ventilation in Acute Respiratory Failure Patients: A Respiratory Therapist Perspective

2015 ◽  
Vol 9 (1) ◽  
pp. 120-126 ◽  
Author(s):  
V Hidalgo ◽  
C Giugliano-Jaramillo ◽  
R Pérez ◽  
F Cerpa ◽  
H Budini ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Mode Selection ◽  
Standard Of Care ◽  
Chronic Obstructive ◽  
Noninvasive Mechanical Ventilation ◽  
Respiratory Therapist ◽  
Obstructive Pulmonary Disease ◽  
Acute Cardiogenic Pulmonary Edema

Physiotherapist in Chile and Respiratory Therapist worldwide are the professionals who are experts in respiratory care, in mechanical ventilation (MV), pathophysiology and connection and disconnection criteria. They should be experts in every aspect of the acute respiratory failure and its management, they and are the ones who in medical units are able to resolve doubts about ventilation and the setting of the ventilator. Noninvasive mechanical ventilation should be the first-line of treatment in acute respiratory failure, and the standard of care in severe exacerbations of chronic obstructive pulmonary disease, acute cardiogenic pulmonary edema, and in immunosuppressed patients with high levels of evidence that support the work of physiotherapist. Exist other considerations where most of the time, physicians and other professionals in the critical units do not take into account when checking the patient ventilator synchrony, such as the appropriate patient selection, ventilator selection, mask selection, mode selection, and the selection of a trained team in NIMV. The physiotherapist needs to evaluate bedside; if patients are properly connected to the ventilator and in a synchronously manner. In Chile, since 2004, the physioterapist are included in the guidelines as a professional resource in the ICU organization, with the same skills and obligations as those described in the literature for respiratory therapists.

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