19th International Symposium on Intensive Care and Emergency Medicine
- Meeting abstract
Noninvasive mechanical ventilation in asthma crisis: an alternative ventilatory therapy to endotracheal intubation
Critical Care volume 3, Article number: P025 (2000)
Oxygen therapy by mask venturi (OMV) in asthma crisis (AC) could not be avoided, and urgent endotracheal intubation (ETI) is the lifesave procedure recommended. Sometimes in a selected population noninvasive ventilation (NMV) may avoid ETI and his deleterious effects (barotrauma, infections, etc).
We describe our first experience in treatment of acute respiratory insufficiency in (AC). Period of study 1995-98.
MV group n = 5, ETI group n = 12, and NMV n = 8.
Ventilators: Dragger Evita 2, and BiPAP ST-D (Resp, Inc).
Inclusion criteria: Borg dysnea score: 5 ; respiratory rate: >30 rpm, PaO2 <60 mm Hg (FIO2 0.5%). ETI: apnoea or unstable breathing pattern, or severe dysnea. Continuous cardiorespiratory monitoring.
Time of NMV: 5 ± 3 h levels of IPAP: 12 ± 3 EPAP 6 ± 3 cmH2O; Global respiratory rate: 38 ± 10; pH: 736 ± 0.02 pCO2: 45 ± 7 mmHg paO2: 49 ± 26 mmHg. NMV intolerant (12.5%). Complications: NMV group: skin nose lesion n = 3; ET group: neumothorax n = 2.
NMV in asthma crisis refractory to (OMV) is a safe alternative to ETI, and could be avoided in selected patients(50%) . Borg Dysnea score index and respiratory rate at 3 h: 38 ± 6 to 25 ± 6 rpm in NMV group are the best early clinical predictors.
About this article
Cite this article
Esquinas, A., González, D., Carrillo, A. et al. Noninvasive mechanical ventilation in asthma crisis: an alternative ventilatory therapy to endotracheal intubation. Crit Care 3 (Suppl 2), P025 (2000). https://doi.org/10.1186/cc400
- Respiratory Rate
- Endotracheal Intubation
- Breathing Pattern
- Respiratory Insufficiency
- Noninvasive Ventilation