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Pulmonary Disease


Answer 4
  1. A 70-year-old alert patient with respiratory failure due to chronic obstructive pulmonary disease exacerbation. NIPPV can be considered in carefully selected patients with sepsis. Patients with shock, altered mental status, or increased airway secretions should not be treated with NIPPV.4 Studies regarding the use of NIPPV in patients with sepsis-induced acute lung injury/ARDS are limited. In our experience, patients with normal mental status who are likely to recover within 48 to 72 hours seem to be good candidates for NIPPV.

    REFERENCES
    4. Hilbert G, Gruson D, Vargas F, et al. Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure. N Engl J Med 2001;344:481-7.

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