- Meeting abstract
- Open Access
Non-invasive pressure support ventilation (NIPSV) is not very time-consuming for the nursing staff
© BioMed Central Ltd 2001
- Published: 1 March 1997
- Mechanical Ventilation
- Respiratory Rate
- Lung Disease
- Respiratory Failure
- Nursing Staff
Methods of NIPSV are being proposed more and more for acute exacerbations of COPD (Brochard: N Engl J Med 1995, 333:817–822). Nevertheless, Chevrolet et al (Chest 1991, 100:775–782) found that this procedure was very time-consuming for nurses. Objective of our prospective study: to study the amount of nursing care required to treat respiratory failure with NIPSV.
Forty COPD patients completed the study. Twenty patients had acute exacerbations of their lung disease, with pH = 7.29 ± 0.05. Twenty patients had suspected ventilatory muscle fatigue after weaning from mechanical ventilation. They presented, in 72 h post-extubation, a mark-up of PaCO2 of at least 20% as compared to the value measured in post-extubation, and a respiratory rate > 25 per min. NIPSV (BiPAP® – Respironics; Evita 2 – Dräger) was performed in a sequential mode. For each session of ventilation, it was taken notice of: duration of the session; duration of nursing care required; side-effects observed; improvement, acceptance by the patient.
After a mean duration of sequential ventilatory assistance of 6 ± 3 days, NIPSV was successful in 75% of cases. During the first 24 h of the protocol: 8 ± 3 sessions of NIPSV were performed; the mean duration of a session of ventilation was 48 ± 14 min; the average minutes spent at the bedside directly administering care as estimated by nurses was 10 ± 7. There was a drop in the amount of time nurses spent at the bedside of patients, after the first 24 h of the study. NIPSV was well tolerated and accepted by the COPD patients.
NIPSV, performed with a sequential mode, may reduce the need for tracheal intubation in the failure of COPD patients, and is not very time-consuming for the nursing staff.