Koji's story - pneumonia
Non-invasive ventilation
Case summary
- 66 year old male with community-acquired pneumonia
- Moderate COPD, previous hospitalisations
- Began feeling unwell 4 days ago, prescribed anti-biotics by physician, proved ineffective
- Over the last 2 days experienced worsening dyspnea, cough, and increasing of sputum purulence
- Presented to ED in moderate-severe respiratory distress. Xray found multilobar pneumonia, sent to ICU
Treatment
- Non-invasive ventilation
- Beta-agonists and anticholinerics nebulised in-line via Aerogen Solo every 4-6 hours
- IV fluids, corticosteroids and antibiotics
Patient outcomes
- Non-invasive ventilation ceased
- Continued treatments via Aerogen Ultra
- Moved to wards and discharged home
Not based on a specific patient but are representative of common clinical situations. Patient journey developed based on: Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease: http://www.goldcopd.org (Accessed on February 28, 2022).National Institute for Health and Care Excellence (NICE). Chronic obstructive pulmonary disease in over 16s: diagnosis and management (2018). https://www.nice.org.uk/guidance/ng115/chapter/Recommendations#managing-exacerbations-of-copd (Accessed on February 03, 2020).Stanojevic S, Kaminsky DA, Miller M, et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests [published online ahead of print, 2021 Dec 23]. Eur Respir J. 2021;2101499. doi:10.1183/13993003.01499-2021James K Stoller, MD, MS. COPD Exacerbations. In: Post TW, ed. COPD exacerbations: Management. UpToDate; 2022. Accessed July 11, 2022. https://www.uptodate.com/contents/copd-exacerbations-management
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