The effect of entrainment site and inspiratory pressure on the delivery of oxygen therapy during non-invasive mechanical ventilation (NIMV) in acute COPD patients

ABSTRACT Objectives: to classify the degree of dependence on nursing care required by children with Congenital Zika Syndrome during hospitalization and to analyze their complexity. Methods: this is a descriptive, observational and quantitative study carried out in a pediatric ward of a public hospital in Rio de Janeiro. Data were collected from hospitalization records between June 2017 and April 2018. Results: 54% of the population studied showed a degree of dependence equivalent to semi-intensive care. On 37.5% of hospitalization days, patients required non-invasive or invasive mechanical ventilation; 31.5% had spontaneous breathing requiring airway clearance by aspiration and/or oxygen therapy. Conclusion: Congenital Zika Syndrome represents a challenge for health professionals due to its uniqueness. In this study, it is expressed by demands for complex and continuous care in hospitalization and in preparation for discharge, requiring semi-intensive nursing care.

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Factors associated with non-invasive mechanical ventilation failure in patients with hematological neoplasia and their association with outcomes

Journal of Intensive Care ◽

10.1186/s40560-020-00484-x ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Lídia Miranda Barreto ◽

◽

Cecilia Gómez Ravetti ◽

Thiago Bragança Athaíde ◽

Renan Detoffol Bragança ◽

...

Keyword(s):

Mechanical Ventilation ◽

Clinical Judgment ◽

Oxygen Therapy ◽

Invasive Mechanical Ventilation ◽

Ventilatory Support ◽

Orotracheal Intubation ◽

Icu Mortality ◽

Factors Associated ◽

Non Invasive ◽

Ventilation Failure

Abstract Background The usefulness of non-invasive mechanical ventilation (NIMV) in oncohematological patients is still a matter of debate. Aim To analyze the rate of noninvasive ventilation failure and the main characteristics associated with this endpoint in oncohematological patients with acute respiratory failure (ARF). Methods A ventilatory support protocol was developed and implemented before the onset of the study. According to the PaO2/FiO2 (P/F) ratio and clinical judgment, patients received supplementary oxygen therapy, NIMV, or invasive mechanical ventilation (IMV). Results Eighty-two patients were included, average age between 52.1 ± 16 years old; 44 (53.6%) were male. The tested protocol was followed in 95.1% of cases. Six patients (7.3%) received IMV, 59 (89.7%) received NIMV, and 17 (20.7%) received oxygen therapy. ICU mortality rates were significantly higher in the IMV (83.3%) than in the NIMV (49.2%) and oxygen therapy (5.9%) groups (P < 0.001). Among the 59 patients who initially received NIMV, 30 (50.8%) had to eventually be intubated. Higher SOFA score at baseline (1.35 [95% CI = 1.12–2.10], P = 0.007), higher respiratory rate (RR) (1.10 [95% CI = 1.00–1.22], P = 0.048), and sepsis on admission (16.9 [95% CI = 1.93–149.26], P = 0.011) were independently associated with the need of orotracheal intubation among patients initially treated with NIMV. Moreover, NIMV failure was independently associated with ICU (P < 0.001) and hospital mortality (P = 0.049), and mortality between 6 months and 1 year (P < 0.001). Conclusion The implementation of a NIMV protocol is feasible in patients with hematological neoplasia admitted to the ICU, even though its benefits still remain to be demonstrated. NIMV failure was associated with higher SOFA and RR and more frequent sepsis, and it was also related to poor prognosis.

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Home Non-Invasive Mechanical Ventilation and Long-Term Oxygen Therapy in Stable Hypercapnic Chronic Obstructive Pulmonary Disease Patients: Comparison of Costs

Respiration ◽

10.1159/000127410 ◽

2008 ◽

Vol 77 (1) ◽

pp. 44-50 ◽

Cited By ~ 17

Author(s):

Enrico M. Clini ◽

Giovanna Magni ◽

Ernesto Crisafulli ◽

Stefano Viaggi ◽

Nicolino Ambrosino

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Mechanical Ventilation ◽

Pulmonary Disease ◽

Oxygen Therapy ◽

Invasive Mechanical Ventilation ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Non Invasive ◽

Long Term Oxygen Therapy

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Remote Monitoring of COPD Patients During Non-invasive Mechanical Ventilation by a New Tele-medicine Device

Lecture Notes in Electrical Engineering - Sensors and Microsystems ◽

10.1007/978-3-030-37558-4_12 ◽

2020 ◽

pp. 75-81

Author(s):

A. V. Radogna ◽

S. Capone ◽

P. Siciliano ◽

S. Sabina ◽

N. Fiore ◽

...

Keyword(s):

Mechanical Ventilation ◽

Remote Monitoring ◽

Invasive Mechanical Ventilation ◽

Non Invasive ◽

Copd Patients

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Pathophysiological Basis of Acute Respiratory Failure on Non-Invasive Mechanical Ventilation

The Open Respiratory Medicine Journal ◽

10.2174/1874306401509010097 ◽

2015 ◽

Vol 9 (1) ◽

pp. 97-103 ◽

Cited By ~ 3

Author(s):

C Romero-Dapueto ◽

H Budini ◽

F Cerpa ◽

D Caceres ◽

V Hidalgo ◽

...

Keyword(s):

Mechanical Ventilation ◽

Respiratory Failure ◽

Acute Respiratory Failure ◽

Invasive Mechanical Ventilation ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Acute Cardiogenic Pulmonary Edema ◽

Non Invasive ◽

Copd Patients ◽

Immunosuppressed Patients

Noninvasive mechanical ventilation (NIMV) was created for patients who needed noninvasive ventilator support, this procedure decreases the complications associated with the use of endotracheal intubation (ETT). The application of NIMV has acquired major relevance in the last few years in the management of acute respiratory failure (ARF), in patients with hypoxemic and hypercapnic failure. The main advantage of NIMV as compared to invasive mechanical ventilation (IMV) is that it can be used earlier outside intensive care units (ICUs). The evidence strongly supports its use in patients with COPD exacerbation, support in weaning process in chronic obstructive pulmonary disease (COPD) patients, patients with acute cardiogenic pulmonary edema (ACPE), and Immunosuppressed patients. On the other hand, there is poor evidence that supports the use of NIMV in other pathologies such as pneumonia, acute respiratory distress syndrome (ARDS), and during procedures as bronchoscopy, where its use is still controversial because the results of these studies are inconclusive against the decrease in the rate of intubation or mortality.

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Penggunaan Ventilasi Mekanik non Invansif Untuk Mengatasi Kegagalan Pernafasan pada Pasien dengan Edema Pulmo Akut Kardiogenik

I Care Jurnal Keperawatan STIKes Panti Rapih ◽

10.46668/jurkes.v1i2.86 ◽

2020 ◽

Vol 1 (2) ◽

pp. 91-100

Author(s):

Eva Marti

Keyword(s):

Mechanical Ventilation ◽

Pulmonary Edema ◽

Airway Pressure ◽

Oxygen Therapy ◽

Positive Airway Pressure ◽

Invasive Mechanical Ventilation ◽

Noninvasive Mechanical Ventilation ◽

Non Invasive ◽

Bilevel Positive Airway Pressure ◽

First Choice

Background: Cardiogenic Pulmo edema can cause a heterogeneous syndrome with a mortality rate of up to 9.5% (Aliberti et all., 2018).Objective: The purpose of this paper was to explain how effective the use of non-invasive mechanical ventilation in patients with acute pulmonary edema with respiratory failure. Methods: The literature review was compiled by synthesizing and comparing various relevant scientific articles from the literature search results using the online database of Proquest and Clinicalkey Elsevier that have significance related to the management of acute cardiogenic pulmo edema. Result: Compared with conservative therapy, noninvasive mechanical ventilation has been shown more effective in improving oxygenation in patients with acute cardiogenic pulmo edema Non-invasive ventilation can reduce dyspnea, acidosis and hypercapnea faster than standard oxygen therapy. Studies show that compared to endotracheal intubation, non-invasive mechanical ventilation is associated with a lower risk of nosocomial infection, lower antibiotic use, shorter length of stay in intensive care units and lower mortality. Study found that there were no differences betwen the two setting of non-invasive mechanical ventilation used, Bilevel positive Airway Pressure (BiPAP) and Continues positive Airway Pressure (CPAP) in patients outcomes. However, there are absolute and relative contraindications that must be considered, including the effectiveness of the therapy being insignificant when given too late Conclusion: Noninvasive mechanical ventilation can be considered as the first choice in the management of acute cardiogenic pulmonary edema because of its high clinical effectiveness representing a rescue action for patients not improving with conventional oxygen therapy.

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