Volume : 12, Issue : 10, October – 2025
Title:
THE ROLE OF NON-INVASIVE VENTILATION IN ACUTE EXACERBATIONS OF COPD IN THE EMERGENCY SETTING: A REVIEW OF OUTCOMES AND BEST PRACTICES
Authors :
Ahmed Mosa Hunayshi, Abdullah Mohammed Alqahtani, Fahd Hamed Alsuhemi, Abdo Ali Doshi, Mohammed Suliman Zanim, Abdulaziz Hamad Hazazi, Ali Baalghayth Alkhayri, Abdullah Ibrahim Aldirhami, Ahmed Hussain Harthi, Abdullah Mohammad Alkatheri
Abstract :
Chronic Obstructive Pulmonary Disease (COPD) imposes a significant burden on healthcare systems worldwide, particularly through acute exacerbations (AECOPD), which are major contributors to emergency department (ED) visits and hospitalizations. Non-invasive ventilation (NIV) has emerged as a critical intervention for managing AECOPD, yet its implementation in the ED remains variable. This review aims to evaluate the efficacy of NIV in improving clinical outcomes for patients with AECOPD in the emergency setting, outline best practices for its initiation and monitoring, and identify barriers to its implementation. A comprehensive literature search was conducted across multiple databases to identify studies related to NIV for AECOPD in EDs. Data were synthesized thematically to summarize evidence on key outcomes, including mortality, intubation rates, and hospital length of stay. Evidence consistently supports the use of NIV in reducing mortality and intubation rates among patients with AECOPD. Effective patient selection, timely initiation, and adequate monitoring are essential for maximizing the benefits of NIV. However, barriers such as resource limitations, staff training deficiencies, and workflow integration challenges hinder widespread adoption. NIV represents a life-saving therapy for patients with AECOPD in the ED. By addressing identified barriers and implementing standardized protocols, healthcare systems can enhance the delivery of NIV, ultimately improving patient outcomes and reducing the burden of COPD exacerbations.
Keywords: Non-invasive ventilation, Chronic Obstructive Pulmonary Disease, Acute exacerbations, Emergency department, Patient outcomes.
Cite This Article:
Please cite this article in press Ahmed Mosa Hunayshi et al., The Role Of Non-Invasive Ventilation In Acute Exacerbations Of Copd In The Emergency Setting: A Review Of Outcomes And Best Practices, Indo Am. J. P. Sci, 2025; 12(10).
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