RT Journal Article SR Electronic T1 Non-invasive ventilation in chronic obstructive pulmonary disease: management of acute type 2 respiratory failure JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 517 OP 521 DO 10.7861/clinmedicine.8-5-517 VO 8 IS 5 A1 CM Roberts A1 JL Brown A1 AK Reinhardt A1 S Kaul A1 K Scales A1 C Mikelsons A1 K Reid A1 R Winter A1 K Young A1 L Restrick A1 PK Plant YR 2008 UL http://www.rcpjournals.org/content/8/5/517.abstract 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.