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KMID : 1141720220100010010
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폐쇄성폐질환
2022 Volume.10 No. 1 p.10 ~ p.14
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Non-Invasive Ventilation and High Flow Oxygen Therapy in COPD
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Chung Chi-Ryang
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Abstract
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In COPD patients, non-invasive positive pressure ventilation indications are applied with stable COPD status with long-term hypercapnia and acute exacerbation of acute respiratory distress with hypercapnia. The physiological basis of application is to increase the alveolar respiration rate and reduce the respiration workload. Non-invasive positive pressure ventilation and high-flow oxygen therapy can improve the prognosis by preventing unnecessary airway intubation and invasive mechanical ventilation in hypercapnia acute respiratory failure patients with acute exacerbation of COPD. Establishing non-invasive positive pressure ventilation application standards and treatment protocols is essential. However, technical experience such as mechanical ventilation settings and appropriate mask selection will also be essential to induce patient adaptation during actual clinical application. If airway intubation is delayed without improvement in 1∼2 hours of application, it may lead to a poor prognosis, so close attention is required. In patients with chronic stable COPD, the scope of application is widened to improve quality of life and prevent acute exacerbation, and guidelines are being published for early application. High flow oxygen therapy is expected to be applied further in the future.
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KEYWORD
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COPD, Non-invasive ventilation, High flow oxygen therapy, High flow nasal cannula
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