{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:23:28Z","timestamp":1740180208050,"version":"3.37.3"},"reference-count":14,"publisher":"The Korean Society of Critical Care Medicine","issue":"1","license":[{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["accjournal.org"],"crossmark-restriction":true},"short-container-title":["Acute Crit Care"],"published-print":{"date-parts":[[2022,2,28]]},"abstract":"<jats:p>Effective use of noninvasive ventilation in patients with chronic obstructive pulmonary disease is well-known. However, noninvasive ventilation in patients presenting with altered sensorium and severe acidosis (pH &lt;7.1) has been rarely described. Invasive mechanical ventilation is associated with high mortality in coronavirus disease 2019 (COVID-19), and use of noninvasive ventilation over invasive ventilation is an area of investigation. We report a case of COVID-19-induced acute exacerbation of chronic obstructive pulmonary disease in a 66-year-old male. His past medical history included obstructive sleep apnea, hypertension, cor-pulmonale, atrial fibrillation, and amiodarone-induced hypothyroidism. On presentation, he had acute hypercapnic respiratory failure, severe acidosis (partial pressure of carbon dioxide [PCO2], 147 mm Hg; pH, 7.06), and altered mentation. The patient was successfully managed with noninvasive ventilation, avoiding endotracheal intubation, invasive ventilation, and related complications. Although precarious, a trial of noninvasive ventilation can be considered in COVID-19-induced acute exacerbation of chronic obstructive pulmonary disease with hypercapnic respiratory failure, severe acidosis, and altered mentation.<\/jats:p>","DOI":"10.4266\/acc.2020.00983","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T05:43:21Z","timestamp":1634708601000},"page":"120-123","update-policy":"https:\/\/doi.org\/10.4266\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful noninvasive ventilation in a severely acidotic and hypercapnic comatose COVID-19 patient with multiple comorbidities: a case report"],"prefix":"10.4266","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9415-2133","authenticated-orcid":true,"given":"Joseph Abraham","family":"Poonuraparampil","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6632-0491","authenticated-orcid":true,"given":"Habib Md Reazaul","family":"Karim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4717-1694","authenticated-orcid":true,"given":"Manu P","family":"Kesavankutty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6306-6651","authenticated-orcid":true,"given":"Porika Prashanth","family":"Nayak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2790","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd004104.pub4"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2017.78.9.c140"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.congress-2016.pa3573"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-019-0892-9"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1080\/15412555.2017.1336527"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2007.04.002"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4266\/acc.2019.00563"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.95.4.865"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1183\/20734735.018918"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.100.2.445"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0233147"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2020-215095"},{"volume-title":"Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: 2019 report [Internet]","year":"2019","key":"ref13"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.5603\/arm.2020.0110"}],"container-title":["Acute and Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/accjournal.org\/upload\/pdf\/acc-2020-00983.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/accjournal.org\/journal\/view.php?doi=10.4266\/acc.2020.00983","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/accjournal.org\/upload\/pdf\/acc-2020-00983.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T06:34:19Z","timestamp":1646030059000},"score":1,"resource":{"primary":{"URL":"http:\/\/accjournal.org\/journal\/view.php?doi=10.4266\/acc.2020.00983"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,28]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,2]]}},"URL":"https:\/\/doi.org\/10.4266\/acc.2020.00983","relation":{},"ISSN":["2586-6052","2586-6060"],"issn-type":[{"type":"print","value":"2586-6052"},{"type":"electronic","value":"2586-6060"}],"subject":[],"published":{"date-parts":[[2022,2,28]]},"assertion":[{"value":"2020-11-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-26","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-28","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}