Non invasive positive pressure ventilation: the sooner the better

msra（2009）

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摘要

. This respiratory support has been investigated in lot of clinical studies and has become a first line treatment of several acute respiratory diseases. Historically, ex- acerbation of COPD was the main indication for NIPPV 3 . Non invasive Bi-level Positive Airway Pres- sure (BiPAP) ventilation has been shown to signifi- cantly improve pH, PaCO2, and respiratory rate within the first hour, and the major benefit ob- served was the decrease in intubation rate 3 . More-

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over,in copd patients with exacerbation,early bipap use has demonstrated to reduce length of hospitalisation and above all hospital mortality,respiratory rate

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