Question

A 70-year-old with severe COPD is admitted. He meets criteria for AECOPD with hypercapnia and acidosis. Noninvasive ventilation (NIV) is considered. Guideline stance?

Accepted Answer

NIV recommended in acute hypercapnic respiratory failure due to COPD exacerbation

Answer

NIV is contraindicated

Answer

Intubation immediately in all

Answer

Oxygen alone is sufficient

Answer

Heliox only

Practice question

A 70-year-old with severe COPD is admitted. He meets criteria for AECOPD with hypercapnia and acidosis. Noninvasive ventilation (NIV) is considered. Guideline stance?