PT - JOURNAL ARTICLE AU - CM Roberts AU - JL Brown AU - AK Reinhardt AU - S Kaul AU - K Scales AU - C Mikelsons AU - K Reid AU - R Winter AU - K Young AU - L Restrick AU - PK Plant TI - Non-invasive ventilation in chronic obstructive pulmonary disease: management of acute type 2 respiratory failure AID - 10.7861/clinmedicine.8-5-517 DP - 2008 Oct 01 TA - Clinical Medicine PG - 517--521 VI - 8 IP - 5 4099 - http://www.rcpjournals.org/content/8/5/517.short 4100 - http://www.rcpjournals.org/content/8/5/517.full SO - Clin Med2008 Oct 01; 8 AB - Non-invasive ventilation (NIV) in the management of acute type 2 respiratory failure in patients with chronic obstructive pulmonary disease (COPD) represents one of the major technical advances in respiratory care over the last decade. This document updates the 2002 British Thoracic Society guidance and provides a specific focus on the use of NIV in COPD patients with acute type 2 respiratory failure. While there are a variety of ventilator units available most centres now use bi-level positive airways pressure units and this guideline refers specifically to this form of ventilatory support although many of the principles encompassed are applicable to other forms of NIV. The guideline has been produced for the clinician caring for COPD patients in the emergency and ward areas of acute hospitals.