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An unusual contraindication to the use of non-invasive ventilation in A&E
  1. Faisal M Siddiqui,
  2. Tim Felton,
  3. Arabella Stevens,
  4. Roger Slater
  1. Central Manchester and Manchester Children's Hospital NHS Trust, Manchester, UK
  1. Correspondence to Faisal M Siddiqui, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; faisalmujib{at}

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A 70-year-old female smoker with known chronic obstructive pulmonary disease presented in A&E with increasing breathlessness. Arterial blood gas showed respiratory failure with marked acidosis. She was commenced on non-invasive ventilation (NIV) and after 2 hours suffered a cardiac arrest. Four minutes …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.