Predicting the success of non-invasive ventilation in preventing intubation and re-intubation in the paediatric intensive care unit

2011 ◽  
Vol 37 (12) ◽  
pp. 1994-2001 ◽  
Author(s):  
Christopher S. James ◽  
Christopher P. J. Hallewell ◽  
Dominique P. L. James ◽  
Angie Wade ◽  
Quen Q. Mok
2020 ◽  
Vol 3 (1) ◽  
pp. 298-301
Author(s):  
Madindra Bahadur Basnet ◽  
Krishna Prasad Acharya ◽  
Deepak Adhikari

Introduction: Acute respiratory failure is a common cause of Intensive care Unit admission for cancer patients. Non-invasive ventilation comes in between the two extreme situations: either provide only oxygen or ventilate invasively. This study was done to find the usefulness and efficacy of non-invasive ventilation in a cancer patient. Materials and Methods: A cross-sectional study was done at Nepal Cancer Hospital. Data analysis of patients requiring non-invasive ventilation at the Intensive care Unit from April 14, 2018, to April 13, 2019, were included. Results: Among 68 studied patients, the primary reason for the initiation of non-invasive ventilation sepsis (16.32%), pneumonia (10.88%), and lung cancer (10.2%). Postoperative atelectasis, pulmonary edema, and morphine overdose were associated with good respiratory improvement and Intensive care Unit survival (100%, 75% and 66.67% respectively). Respiratory failure with carcinoma lung, lung fibrosis, acute respiratory distress syndrome, terminally ill patients, and patients with low Glasgow Coma Scale had high failure rates (Survival: 13.33%, 14.29%, 16.67%, 0%, and 20% respectively). Conclusions: Non-invasive ventilation seems to be an effective way of ventilation for cancer patients. The selection of patients and timely initiation of non-invasive ventilation is of utmost importance for a better outcome.  


2021 ◽  
pp. 42-51
Author(s):  
A. V. Vlasenko ◽  
A. G. Koryakin ◽  
E. A. Evdokimov ◽  
I. S. Klyuev

The development of medical technologies and the emergence of new methods of respiratory support with extensive capabilities to control positive pressure on the inhale and exhale made it possible to implement non-invasive ventilation. The integration of microprocessors in modern respiratory interfaces, on the one hand, and a deeper understanding of the mechanisms of the pathogenesis of respiratory failure, on the other hand, made it possible to improve and implement various methods of non-invasive respiratory support in everyday clinical practice. The experience gained in recent decades with the use of non-invasive ventilation made it possible to widely use this method of respiratory support in a wide variety of clinical situations. However, the selection of patients for mask ventilation, the choice of method and algorithm for its application, prognosis of effectiveness, prevention of negative effects, as before, remain relevant. This dictates the need to continue studying the clinical efficacy of non-invasive ventilation in patients with respiratory failure of various origins. The review presents the possibilities and limitations of the use of non-invasive respiratory support in patients with respiratory failure in the intensive care unit.


Author(s):  
Saint-Clair Gomes Bernardes Neto ◽  
Roberta Fernandes Bomfim ◽  
Fernando Beserra de Lima ◽  
Fabio Ferreira Amorim ◽  
Marcelo De Oliveira Maia ◽  
...  

Sari Pediatri ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 177
Author(s):  
Leksmana Hidayatullah ◽  
Sri Martuti ◽  
Pudjiastuti Pudjiastuti

Latar belakang. Ventilasi non invasif (non invasive ventilation = NIV) dapat menjadi alternatif ventilasi selain intubasi endotrakeal, belum banyak didapatkan penelitian mengenai NIV di negara berkembang. Karakteristik awal pasien mempunyai peranan sebagai faktor risiko kegagalan NIV, tetapi masih didapatkan hasil yang beragam.Tujuan. Menganalisis faktor risiko kegagalan terapi NIV berdasarkan karakteristik awal pasien di Pediatric Intensive Care Unit Rumah Sakit Umum Daerah Dr. Moewardi.Metode. Penelitian analitik dengan desain cross sectional dengan besar sampel 25 anak, dilakukan pengambilan data melalui rekam medik dengan periode november 2016 sampai mei 2018.Hasil. Didapatkan hasil, sebanyak 10 dari 25 pasien (40%) gagal NIV, 22 pasien (88%) sebagai lini pertama sedangkan sebagai penyapihan ventilator sebanyak 3 pasien (12%). Analisis multivariat dengan menggunakan regresi logistik menunjukkan jalur nutrisi enteral (P value 0,028 ;OR 10,64 (1,29-87,56)CI 95%) dapat menjadi prediktor kegagalan penggunaan NIV.Kesimpulan. Pemberian Nutrisi secara enteral pada saat awal penggunaan NIV dapat dijadikan prediktor kegagalan.


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