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Figure 1.

Flow chart of the consecutive COPD patients with acute hypercapnic exhacerbation enrolled in the study.

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Table 1.

Patients demographics and clinical characteristics.

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Table 2.

Patients main clinical and metabolic parameters, ABG analysis, lactate, serum electrolytes and urinalysis.

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Table 2 Expand

Figure 2.

Unadjusted odds ratios (OR) and 95% confidence intervals for NIV use with respect to clinical parameters, ABG results and lactate and electrolyte values that were statistically significant.

NIV = noninvasive ventilation; ABG = arterial blood gases; RR = respiratory rate; P(A-a)O2 = alveolar–arterial PO2 gradient; sNa+ = serum sodium; sCl = serum chloride.

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Table 3.

Clinical parameters, ABG analysis and lactate values at different time during NIV.

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Figure 3.

Acid-base balances in patients with hypercapnic COPD exacerbation.

Black lozenge: Respiratory acidosis. White square: Mixed respiratory acidosis–metabolic alkalosis; Black triangle: Mixed respiratory-metabolic acidosis.

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Table 4.

Duration of NIV in groups of patients according to ABG analysis values.

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Figure 4.

Trends over time in heart rate (panel A), respiratory rate (panel B), pH (panel C), PaO2 (panel D), PaCO2 (panel E) and blood lactate (panel F) during NIV.

* p<0.0125, Mann-Whitney U test between groups with Bonferroni correction. NIV = noninvasive ventilation.

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