Respiratory mechanics in COPD patients who failed non-invasive ventilation: Role of intrinsic PEEP

Vittorio Antonaglia, Massimo Ferluga, Guido Capitanio, Umberto Lucangelo, Fulvia Piller, Erik Roman-Pognuz, Bruno Biancardi, Giuseppe Davide Caggegi, Walter A. Zin

Research output: Contribution to journalArticle

Abstract

Non-invasive positive pressure ventilation (NPPV) is the first choice to treat exacerbations in COPD patients. NPPV can fail owing to different causes related to gas exchange impairment (RF group) or intolerance (INT group). To assess if the respiratory mechanical properties and the ratio between the dynamic and static intrinsic positive end-expiratory pressure (PEEPi,dyn/PEEPi,stat), reflecting lung mechanical inequalities, were different between groups, 29 COPD patients who failed NPPV (15 RF and 14 INT) were studied, early after the application of invasive ventilation. Blood gas analysis, clinical status, and mechanical properties were measured. pH was higher in INT patients before intubation (pi,dyn/PEEPi,stat was found higher in INT group with (p=0.021) and without PEEP (ZEEP, pi,dyn/PEEPi,stat was exponentially associated with the duration of NPPV in INT group (p=0.011). INT and RF patients had similar impairment of respiratory system resistance and elastance.

Original languageEnglish
Pages (from-to)35-40
Number of pages6
JournalRespiratory Physiology and Neurobiology
Volume184
Issue number1
DOIs
Publication statusPublished - Oct 15 2012

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Keywords

  • Acute exacerbation of COPD
  • Invasive ventilation
  • Lung mechanical inequalities
  • Respiratory mechanical behavior
  • Viscoelasticity

ASJC Scopus subject areas

  • Physiology
  • Pulmonary and Respiratory Medicine
  • Neuroscience(all)

Cite this

Antonaglia, V., Ferluga, M., Capitanio, G., Lucangelo, U., Piller, F., Roman-Pognuz, E., Biancardi, B., Caggegi, G. D., & Zin, W. A. (2012). Respiratory mechanics in COPD patients who failed non-invasive ventilation: Role of intrinsic PEEP. Respiratory Physiology and Neurobiology, 184(1), 35-40. https://doi.org/10.1016/j.resp.2012.07.009