Ventilatory Support Using Bilevel Positive Airway Pressure during Neuraxial Blockade in a Patient with Severe Respiratory Compromise

2006 ◽  
Vol 26 (3) ◽  
pp. 161-162
Author(s):  
&NA;
2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Alireza Yarahmadi ◽  
Nader D. Nader ◽  
Gino Zadeii ◽  
Jahan Porhomayon

We present four cases of adults with obstructive sleep apnea in whom positive airway pressure therapy alone failed to provide adequate oxygenation. We have previously reported the use of dual mask for ventilatory support of a patient postoperatively (Porhomayon et al., 2013). Here, we report an evaluation of the dual mask in four patients with overlap syndromes. Application of dual mask provided adequate oxygenation with lower continuous positive airway pressure (CPAP)/bilevel positive airway pressure (BIPAP) pressure levels.


2009 ◽  
Vol 17 (4) ◽  
pp. 489-494 ◽  
Author(s):  
Renata Medeiros do Nascimento ◽  
Anne Laura Costa Ferreira ◽  
Ana Cláudia Ferreira Pinheiro Coutinho ◽  
Regina Célia Sales Santos Veríssimo

Continuous positive airway pressure (CPAP) with prongs is the ventilatory support most used in newborns. Nasal injuries are complications that may arise due to the prolonged use of this device. This study aimed to determine the frequency of nasal injuries in newborns through the use of continuous positive airway pressure with prongs. A convenience sample composed of hospitalized newborns using prongs for more than two days was used. Data were collected through a structured form. Lesions were observed in all newborns, which were classified as: mild (79.6%), moderate (19.7%) and severe (0.7%). The conclusion is that the use of prongs for more than two days represents a risk factor for the lesions to develop.


2014 ◽  
Vol 11 (3) ◽  
pp. 283-294 ◽  
Author(s):  
Meghna P Mansukhani ◽  
Bhanu Prakash Kolla ◽  
Eric J Olson ◽  
Kannan Ramar ◽  
Timothy I Morgenthaler

2019 ◽  
Vol 65 (9) ◽  
pp. 1161-1167
Author(s):  
Eli Maria Pazzianotto-Forti ◽  
Letícia Baltieri ◽  
Patrícia Brigatto ◽  
Carolina Moraes da Costa ◽  
Maura Rigoldi Simões da Rocha ◽  
...  

SUMMARY OBJECTIVE To investigate the use of Bilevel Positive Airway Pressure (BiPAP) in morbidly obese individuals in two moments following bariatric surgery (Roux-en-Y gastric bypass): post-anesthetic recovery (PAR) and first postoperative day (1PO). DESIGN Randomized and blinded clinical trial. METHODS We studied 40 morbidly obese individuals aged between 25 and 55 years who underwent pulmonary function test and chest X-ray preoperatively, and on the day of discharge (2nd day after surgery). They were randomly allocated into two groups: PAR-G (BiPAP in PAR for one hour), and 1PO-G (BIPAP for one hour on the 1PO). RESULTS In the PAR-G and 1PO-G, respectively there were significant reductions in slow vital capacity (SVC) (p=0.0007 vs. p<0.0001), inspiratory reserve volume (IRV) (p=0.0016 vs. p=0.0026), and forced vital capacity (FVC) (p=0.0013 vs. p<0.0001) and expiratory reserve volume (ERV) was maintained only for the PAR-G (p=0.4446 vs. p=0.0191). Comparing the groups, the SVC (p=0.0027) and FVC (p=0.0028) showed a significant difference between the treatments, while the PAR-G showed smaller declines in these capacities. The prevalence of atelectasis was 10% for the PAR-G and 30% for the 1PO-G (p=0.0027). CONCLUSION Thus, the use of BiPAP in PAR can promote restoration of ERV and contribute to the reduction of atelectasis.


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