title: Long-term domiciliary treatment with nasal intermittent positive-pressure ventilation plus supplemental oxygen in COPD with severe hypercapnia.
abstract: An effective treatment of advanced states of chronic obstructive pulmonary disease (COPD) has yet to be established. We report the case of a COPD patient with severe hypoxemia (pO2 = 32.0 mm Hg) and hypercapnia (pCO2 = 90.0 mm Hg) who was successfully treated for 8 months with nasal intermittent positive-pressure ventilation (NIPPV) plus supplemental O2 in a domiciliary treatment. The reduction of hypoxemia parallel to the alleviation of hypercapnia reversed the patient's continuously declining condition.
authors.affiliation: Department of Physiology, University of Barcelona, Spain.
authors.forename: V
authors.initials: V
authors.lastname: Alfaro
authors.forename: R
authors.initials: R
authors.lastname: Torras
authors.forename: L
authors.initials: L
authors.lastname: Palacios
authors.forename: J
authors.initials: J
authors.lastname: Ibáñez
mesh_terms: D001784:Blood Gas Analysis; D006699:Home Care Services; D006801:Humans; D006935:Hypercapnia / Q000097:blood / Q000150:complications / Q000628:therapy*; D007385:Intermittent Positive-Pressure Ventilation / Q000379:methods*; D008173:Lung Diseases, Obstructive / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009666:Nose; D010102:Oxygen Inhalation Therapy / Q000379:methods*