Acute Respiratory Failure Due to Acute Exacerbation of Chronic Obstructive Pulmonary Disease The Spectrum of Ventilator StrategiesGhazala, Laith MD*; Hanks, Justin MD†; Abhijit, Duggal MD, MPH, MSc*; Hatipoglu, Umur MD*; Stoller, James K. MD, MS*,‡Clinical Pulmonary Medicine: September 2019 - Volume 26 - Issue 5 - p 154–160 doi: 10.1097/CPM.0000000000000331 Obstructive Airways Disease Buy Abstract Author InformationAuthors Article MetricsMetrics Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States. Acute exacerbation of COPD is associated with a faster decline in lung function, lower quality of life, and increased mortality. Management of acute exacerbation of COPD in the intensive care unit includes pharmacotherapy and mechanical ventilatory support. Noninvasive mechanical ventilation has led to significant improvement in outcomes of COPD and reduced morbidity and mortality compared with invasive mechanical ventilation. An emerging modality, extracorporeal carbon dioxide removal is now being studied to reduce the need for ventilatory assistance in acute ventilatory failure due to COPD exacerbation. *Respiratory Institute †Internal Medicine ‡Education Institute, Cleveland Clinic, Cleveland, OH Disclosure: The authors declare that they have no conflicts of interest. Address correspondence to: Laith Ghazala, MD, Respiratory Institute, Cleveland Clinic, 9500 East Euclid Avenue A90, Cleveland, OH 44195. E-mail: email@example.com. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.