scholarly journals CROSS SECTIONAL PREVALENCE STUDY ON PAEDIATRIC PATIENTS DIAGNOSED WITH SEVERE DENGUE AT A TERTIARY HOSPITAL IN CEBU CITY GIVEN NON INVASIVE VENTILATION VS MECHANICAL INTUBATION

Respirology ◽  
2018 ◽  
Vol 23 ◽  
pp. 141-142
Keyword(s):  
Tertiary Hospital ◽  
Prevalence Study ◽  
Severe Dengue ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
Non Invasive ◽  
Paediatric Patients ◽  
Non Invasive Ventilation

scholarly journals High success and low mortality rates with non-invasive ventilation in influenza A H1N1 patients in a tertiary hospital

2011 ◽  
Vol 4 (1) ◽  
Author(s):  
Karina T Timenetsky ◽  
Silvia HCT Aquino ◽  
Cilene Saghabi ◽  
Corinne Taniguchi ◽  
Claudia V Silvia ◽  
...  
Keyword(s):  
Influenza A ◽  
Mortality Rates ◽  
Tertiary Hospital ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Influenza A H1n1

scholarly journals Associated factors of facial pressure ulcers in patients under non-invasive ventilation during hospital stay in an intermediate care facilities of a Portuguese hospital

2020 ◽  
Author(s):  
Carlos Filipe dos Santos Quitério ◽  
Isabel Cordeiro ◽  
Mariana Pereira
Keyword(s):  
Pressure Ulcers ◽  
Nutritional Risk ◽  
Intermediate Care ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Care Facilities ◽  
Intermediate Care Facilities ◽  
Nasal Pyramid

Background & Aim: Non-invasive ventilation is a procedure that reduces respiratory stress and improves gas exchange, using a patient-ventilator interface; however, it presents consequences such as the development of facial pressure ulcers. We aim to identify the factors associated with facial pressure ulcers in Intermediate Care Facilities patients submitted to non-invasive ventilation. Methods & Materials: A cross-sectional descriptive and analytic study was performed in an intermediate care facilities, of a Portuguese hospital, from August to October of 2018, the study population consisted of patients hospitalized in this unit, who underwent to non-invasive ventilation. Data were collected through an observational form developed to obtain the information of the entire period of hospitalization of the patient. The software used to analyze the data was IBM SPSS Statistics for Windows, Version 23.0. For the descriptive analysis, absolute and relative frequencies also means and standard deviations were computed. Also, to describe the association between the variables, The point biserial correlation coefficient (rpb) were calculated. For data analysis, a significance level of .05 (α) was used. Results: 14.6% of the individuals developed PU, all in the nasal pyramid. NIV was used for 6.07±3.91 days, and PU developed between the 3rd and the 20th day. It was observed that the presence of PU had a significant positive correlation with the GCS score (rpb=0.390, p=0.012) and a significant negative correlation with the duration of NIV (rpb=-0.438, p=0.004). Dependency level, PU risk, and nutritional risk did not correlate with the development of PU. Conclusion: The pressure ulcers associated with non-invasive ventilation appear to be more frequently developed on the nasal pyramid and between the 3rd and the 20th day. Moreover, the level of consciousness and the time of administration of non-invasive ventilation are associated with the development of pressure ulcers.

Combining Non-invasive Ventilation with timed position change in the Emergency Department to improve oxygenation and outcomes in patients with COVID-19: A prospective analysis from a low resource setup

2021 ◽  
Vol 38 (ICON-2022) ◽  
Author(s):  
Saima Ali ◽  
Adeel Khatri ◽  
Nida Ghouri ◽  
Sama Mukhtar ◽  
Suha Zawawi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Oxygen Saturation ◽  
Supine Position ◽  
Prospective Analysis ◽  
Invasive Ventilation ◽  
Position Change ◽  
Cross Sectional ◽  
Low Resource ◽  
Non Invasive ◽  
Non Invasive Ventilation

Background: Moving away from invasive ventilation towards timed position change and non-invasive ventilation is especially of benefit in low and middle income countries, where judicious use of the available healthcare resources is the need of the day. Our study was conducted prospectively to develop strategies for non-invasive ventilation in combination with timed position change of patients to see its impact on their outcome.Objectives: Non-invasive ventilation has proven to be of benefit in COVID-19 related acute lung injury. The objective of this prospective, cross sectional study was to develop a protocol for the use of non-invasive ventilation with timed position change to improve COVID-19 patients’ outcomes in the Emergency Department (ED). Methods: All patients presenting with confirmed or suspected COVID-19 were enrolled in the study from March 2020 to October 2020. Data was collected to see the effect of timed position change and non-invasive ventilation on these patients and its effect on delaying or avoiding invasive ventilation. Results: Of the 207 COVID-19 patients presenting to the IHHN ED, 109(52.7%) had oxygen saturation in the nineties in supine position followed by right lateral in 37(17.9%), sitting up in 30(14.5%), left lateral in 29(14%) and prone position in 2(1%). Maximal oxygenation was achieved with non rebreather mask (NRM) and nasal prongs in 87(42%) of the patients, followed by the use of continuous positive airway pressure (CPAP) in 29(14%). Conclusion: Most of the patients preferred to stay in the supine position and described it as the position of comfort. When used in combination supine position, patients on NRM with nasal prongs and on CPAP, had oxygen saturation in the nineties. Central obesity was found to be the prime reason for the inability to prone our patients. This needs to be followed up in the current fourth wave of COVID-19 to see the effectiveness of the said modalities. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5772 How to cite this:Ali S, Khatri A, Ghouri N, Mukhtar S, Zawawi S, Saleem SG. Combining Non-invasive Ventilation with timed position change in the Emergency Department to improve oxygenation and outcomes in patients with COVID-19: A prospective analysis from a low resource setup. Pak J Med Sci. 2022;38(2):375-379. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5772 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Clinical scoring for the failure of non-invasive ventilation in acute respiratory failure patients in the Emergency Department.

2020 ◽  
Author(s):  
Wijittra liengswangwong ◽  
Chaiyaporn Mahidol Yuksen ◽  
Tipanun Thepkong ◽  
Pornita Nakasint ◽  
Chetsadakon Jenpanitpong
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Invasive Mechanical Ventilation ◽  
Serum Lactate ◽  
Multivariable Logistic Regression Analysis ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Clinical Scoring

Abstract Background Non-invasive mechanical ventilation (NIV) has become an alternative to an invasive artificial airway for the management of acute respiratory failure (ARF). NIV failure causes delayed intubation, which eventually has been associated with increased morbidity and mortality. This study aimed to develop the clinical scoring system of NIV failure in ARF patients. Methods This study was a diagnostic, retrospectively cross-sectional, and exploratory model at the Emergency Medicine Department in Ramathibodi Hospital between February 2017 and December 2017. We included all of the acute respiratory failure patients aged >18 years and received non-invasive ventilation (NIV). Clinical factors associated with NIV failure were recorded. The predictive model and prediction score for NIV failure were developed by multivariable logistic regression analysis. Result A total of 329 acute respiratory failure patients have received NIV success (N = 237) and failure (N = 92). This study showed that NIV failure was associated with heart rate > 110 bpm, systolic BP < 110 mmHg, SpO2 < 90%, arterial pH < 7.30 and serum lactate. The clinical scores were classified into three groups: low, moderate, and high. Conclusion We suggested that the novel clinical scoring of the NIV failure in this study may use as a good predictor for NIV failure in the emergency room.

scholarly journals Faktor Risiko Kegagalan Ventilasi non Invasif di Pediatric Intensive Care Unit (PICU) RSUD Dr. Moewardi

Sari Pediatri ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 177
Author(s):  
Leksmana Hidayatullah ◽  
Sri Martuti ◽  
Pudjiastuti Pudjiastuti
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
P Value ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
Non Invasive ◽  
Non Invasive Ventilation

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.

scholarly journals P027 The clinical role and outcomes of non-invasive ventilation in motor neuron disease: An Australian tertiary hospital experience

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A30-A30
Author(s):  
A Cruickshank ◽  
D Curtin
Keyword(s):  
Motor Neuron ◽  
Motor Neuron Disease ◽  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Tertiary Hospital ◽  
Invasive Ventilation ◽  
Respiratory Muscle Weakness ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Average Survival

Abstract Introduction In motor neuron disease (MND), non-invasive ventilation (NIV) in patients who develop respiratory muscle weakness improves both quality of life and survival. This study aimed to evaluate the current practice and outcomes of NIV use in MND patients in an Australian tertiary hospital. Methods The medical records of all MND patients who attended a specialist multidisciplinary clinic requiring NIV treatment between January 2015 and January 2020 were retrospectively analysed. Progress to date: Forty-five patients have been analysed with a mean age at time of NIV commencement of 61±10(SD) years, 67% were male, 33% were current or past smokers and 7% had OSA with previous CPAP use. MND onset was limb in 58%, bulbar in 36% and respiratory muscle in 7%. Riluzole was prescribed in 47% and PEG/RIG insertion performed in 47%. At time of NIV commencement, 82% were symptomatic and 47% hypercapnic. No patient was commenced based on functional testing alone. NIV adherence (usage ≥4hours/night) was observed in 80%. NIV non-adherence was associated with bulbar subtype (p=0.02) and empirical NIV initiation (p&lt;0.01) on univariate analysis. Average survival from NIV commencement was 17±22(SD)months. Average survival on NIV in adherent patients was 19±24(SD)months and non-adherent patients was 2±2(SD)months, although this did not reach statistical significance (p=0.1). Intended outcome & impact Overall clinical practice and outcomes of NIV use in this study is comparable to literature. The factors influencing NIV tolerance and adherence require further study to optimise outcomes in MND patients with respiratory muscle weakness.

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