TY - JOUR T1 - Non-invasive positive pressure ventilation should be considered in patients with COPD and persistent hypercapnia at least 2 weeks after resolution of acute respiratory failure JF - Evidence Based Nursing JO - Evid Based Nurs DO - 10.1136/eb-2017-102789 SP - ebnurs-2017-102789 AU - Magnus Ekström Y1 - 2017/11/25 UR - http://ebn.bmj.com/content/early/2017/11/24/eb-2017-102789.abstract N2 - Commendary on: Murphy PB, Rehal S, Arbane G, et al. Effect of home noninvasive ventilation with oxygen therapy vs oxygen therapy alone on hospital readmission or death after an acute COPD exacerbation: a randomized clinical trial. JAMA 2017;317:2177–86.Non-invasive positive pressure ventilation (NPPV) should be considered in patients with chronic obstructive pulmonary disease (COPD) with persistent hypercapnia 2–4 weeks after resolution of acute respiratory failure.Timely follow-up after hospitalisation for acute respiratory failure is important.Further trials are needed to confirm the findings and to clarify which patients benefit most, the role of concurrent obstructive sleep apnoeas and optimal ventilator settings of NPPV in stable hypercapnic COPD.NPPV improves outcomes and should be standard care in patients with acute hypercapnic respiratory failure, indicated by respiratory acidosis, in COPD.1Chronic hypercapnia is common … ER -