19th International Symposium on Intensive Care and Emergency Medicine
- Meeting abstract
Noninvasive positive-pressure ventilation in acute respiratory distress syndrome: preliminary results
Critical Care volume 3, Article number: P026 (2000)
The NIV in acute respiratory failure of a previously healthy lung is not much widespread but much discussed. We report the first data about four patients, who have been accepted in our ICU due to acute respiratory failure post-trauma and treated with ventilatory support via face mask like NIV. All patients were negative to pre-existing lung disease and got thoracic trauma with multiple costal fractures and bony fractures. We used the mechanical ventilator Adult Star (Infrasonic, Inc., San Diego USA). All the patients were co-operating and without neurological deficiency. The NIV has been applied for 2 days and alternated with spontaneous ventilation through Venturi mask after 24 h.
The analyzed data show an improvement of PaO2 in all patients, already after the first hours of treatment as well as a respirate reduction.
The NIV has to be considered as a conventional ventilation's kind also by acute hypoxemic respiratory failure. The admission's criteria of the patients to this kind of ventilation is however important. In conclusion, we can affirm that the NIV has an important advantage compared to the conventional ventilation, that is a shorter stays in the intensive care unit, associated to a reduction of pneumonia related to endotracheal intubation.
Antonelli M, Conti G, et al.: A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N EngI J Med 1998, 339: 429-435. 10.1056/NEJM199808133390703
Meduri GU: Noninvasive positive-pressure ventilation in patients with acute respiratory failure. Clin Chest Med 1996, 17: 513-553. 10.1016/S0272-5231(05)70330-0
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Principi, T., Pantanetti, S., Carletti, P. et al. Noninvasive positive-pressure ventilation in acute respiratory distress syndrome: preliminary results. Crit Care 3 (Suppl 2), P026 (2000). https://doi.org/10.1186/cc401