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dc.contributor.authorMcCreesh, Samuel
dc.date.accessioned2020-01-23T08:15:13Z
dc.date.available2020-01-23T08:15:13Z
dc.date.issued2019-09-11
dc.identifier.citationMcCreesh, S. 2019. Non-invasive ventilation as a prehospital intervention for acute COPD exacerbation. Journal of Paramedic Practice, 11 (9), 376–380.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2019.11.9.376
dc.identifier.urihttp://hdl.handle.net/20.500.12417/629
dc.description.abstractAbstract published with permission. Chronic obstructive pulmonary disease (COPD) is the second most common respiratory illness in the UK, affecting over 1 million people. Acute exacerbations of COPD are a common presentation to the ambulance service and account for thousands of hospital admissions annually. Acute respiratory failure accompanies approximately 20% of exacerbations. Current prehospital treatment focuses on oxygen and pharmacological therapy to treat the underlying causes. Non-invasive ventilation (NIV) is a method of ventilatory support that does not require endotracheal intubation, avoiding significant risks associated with intubation and sedation. While some UK ambulance services have introduced NIV, UK guidelines primarily focus on hospital use. International trials have shown prehospital NIV to be more effective than standard treatment in terms of reducing the need for intubation and invasive ventilation in hospital. However, further research is necessary before NIV is introduced widely in UK prehospital paramedic practice.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectPre-hospital Careen_US
dc.subjectAirway Obstructionen_US
dc.subjectPulmonary Disease, Chronic Obstructiveen_US
dc.subjectAirway Managementen_US
dc.titleNon-invasive ventilation as a prehospital intervention for acute COPD exacerbationen_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Paramedic Practiceen_US
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-11-28
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2019-09-11
html.description.abstractAbstract published with permission. Chronic obstructive pulmonary disease (COPD) is the second most common respiratory illness in the UK, affecting over 1 million people. Acute exacerbations of COPD are a common presentation to the ambulance service and account for thousands of hospital admissions annually. Acute respiratory failure accompanies approximately 20% of exacerbations. Current prehospital treatment focuses on oxygen and pharmacological therapy to treat the underlying causes. Non-invasive ventilation (NIV) is a method of ventilatory support that does not require endotracheal intubation, avoiding significant risks associated with intubation and sedation. While some UK ambulance services have introduced NIV, UK guidelines primarily focus on hospital use. International trials have shown prehospital NIV to be more effective than standard treatment in terms of reducing the need for intubation and invasive ventilation in hospital. However, further research is necessary before NIV is introduced widely in UK prehospital paramedic practice.en_US


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