Koji's Story, non-invasive ventilation

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


  • 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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