Health Condition 1: J441- Chronic obstructive pulmonary disease with (acute) exacerbation
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age above 35 years. Conscious, cooperative patient. ABG findings on room air: pH 45mmHg, PO2 Able to maintain patency of the airway. Tachypnoea with respiratory rate more than 24/min. Increased work of breathing (accessory muscle use, pursed lip breathing).
Exclusion criteria
Exclusion criteria: Age below 35 years. Impaired consciousness (Glasgow coma scale Impaired cough/ swallowing reflex/ unable to maintain patent airway. Confusion/ agitation/ severe cognitive impairment. Severe upper gastrointestinal bleeding. Hemodynamic instability (on inotropes/shock). Life threatening hypoxia. Recent facial or upper airway surgeries. Facial burns/ trauma.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in ABG & hemodynamic parameters of patient on NIVTimepoint: At the time of admission | — |
Secondary
| Measure | Time frame |
|---|---|
| Management of type 2 respiratory failure on NIV by preventing endotracheal intubationTimepoint: After 24 hrs of admission | — |
Countries
India
Contacts
The Signature Hospital