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Editorial Board

Lessons by Volume

Practical Pearls from the GOLD Guidelines on COPD

By Juan Garcia, MD, FCCP; and Stephen Jenkinson, MD, FCCP

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Table 4—Selection and Exclusion Criteria for NIPPV
Selection Criteria (≥ 2 Should Be Present)	Exclusion Criteria (Any May Be Present)
Moderate to severe dyspnea with use of accessory muscles	Respiratory arrest
Moderate to severe acidosis (pH 7.30 to 7.35) and hypercapnia (PaCO2 45 to 60 mm Hg)	Cardiovascular instability
Respiratory rate > 25/min	Impaired mental status
	High aspiration risk
	Recent facial surgery or gastroesophageal surgery
	Trauma
	Extreme obesity

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