Management of Chronic Respiratory Failure in Interstitial Lung Diseases: Overview and Clinical Insights.
Interstitial lung diseases
chronic respiratory failure
idiopathic pulmonary fibrosis
non-invasive ventilation
oxygen therapy
Journal
International journal of medical sciences
ISSN: 1449-1907
Titre abrégé: Int J Med Sci
Pays: Australia
ID NLM: 101213954
Informations de publication
Date de publication:
2019
2019
Historique:
received:
02
01
2019
accepted:
05
05
2019
entrez:
26
7
2019
pubmed:
26
7
2019
medline:
15
2
2020
Statut:
epublish
Résumé
Interstitial lung diseases (ILDs) may be complicated by chronic respiratory failure (CRF), especially in the advanced stages. Aim of this narrative review is to evaluate the current evidence in management of CRF in ILDs. Many physiological mechanisms underlie CRF in ILDs, including lung restriction, ventilation/perfusion mismatch, impaired diffusion capacity and pulmonary vascular damage. Intermittent exertional hypoxemia is often the initial sign of CRF, evolving, as ILD progresses, into continuous hypoxemia. In the majority of the cases, the development of CRF is secondary to the worsening of the underlying disease; however, associated comorbidities may also play a role. When managing CRF in ILDs, the need for pulmonary rehabilitation, the referral to lung transplant centers and palliative care should be assessed and, if necessary, promptly offered. Long-term oxygen therapy is commonly prescribed in case of resting or exertional hypoxemia with the purpose to decrease dyspnea and improve exercise tolerance. High-Flow Nasal Cannula oxygen therapy may be used as an alternative to conventional oxygen therapy for ILD patients with severe hypoxemia requiring both high flows and high oxygen concentrations. Non-Invasive Ventilation may be used in the chronic setting for palliation of end-stage ILD patients, although the evidence to support this application is very limited.
Identifiants
pubmed: 31341410
doi: 10.7150/ijms.32752
pii: ijmsv16p0967
pmc: PMC6643124
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
967-980Déclaration de conflit d'intérêts
Competing Interests: The authors have declared that no competing interest exists.
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