Unknown

Dataset Information

0

Noninvasive ventilation for severely acidotic patients in respiratory intermediate care units : Precision medicine in intermediate care units.

ABSTRACT: Severe acidosis can cause noninvasive ventilation (NIV) failure in chronic obstructive pulmonary disease (COPD) patients with acute hypercapnic respiratory failure (AHRF). NIV is therefore contraindicated outside of intensive care units (ICUs) in these patients. Less is known about NIV failure in patients with acute cardiogenic pulmonary edema (ACPE) and obesity hypoventilation syndrome (OHS). Therefore, the objective of the present study was to compare NIV failure rates between patients with severe and non-severe acidosis admitted to a respiratory intermediate care unit (RICU) with AHRF resulting from ACPE, COPD or OHS.We prospectively included acidotic patients admitted to seven RICUs, where they were provided NIV as an initial ventilatory support measure. The clinical characteristics, pH evolutions, hospitalization or RICU stay durations and NIV failure rates were compared between patients with a pH???7.25 and a pH?

SUBMITTER: Masa JF 

PROVIDER: S-EPMC4937546 | biostudies-other | 2016 Jul

REPOSITORIES: biostudies-other

Json Xml
altmetric image

Publications

Noninvasive ventilation for severely acidotic patients in respiratory intermediate care units : Precision medicine in intermediate care units.

Masa Juan F JF   Utrabo Isabel I   Gomez de Terreros Javier J   Aburto Myriam M   Esteban Cristóbal C   Prats Enric E   Núñez Belén B   Ortega-González Ángel Á   Jara-Palomares Luis L   Martin-Vicente M Jesus MJ   Farrero Eva E   Binimelis Alicia A   Sala Ernest E   Serrano-Rebollo José C JC   Barrot Emilia E   Sánchez-Oro-Gomez Raquel R   Fernández-Álvarez Ramón R   Rodríguez-Jerez Francisco F   Sayas Javier J   Benavides Pedro P   Català Raquel R   Rivas Francisco J FJ   Egea Carlos J CJ   Antón Antonio A   Peñacoba Patricia P   Santiago-Recuerda Ana A   Gómez-Mendieta M A MA   Méndez Lidia L   Cebrian José J JJ   Piña Juan A JA   Zamora Enrique E   Segrelles Gonzalo G  

BMC pulmonary medicine 20160707 1

<h4>Background</h4>Severe acidosis can cause noninvasive ventilation (NIV) failure in chronic obstructive pulmonary disease (COPD) patients with acute hypercapnic respiratory failure (AHRF). NIV is therefore contraindicated outside of intensive care units (ICUs) in these patients. Less is known about NIV failure in patients with acute cardiogenic pulmonary edema (ACPE) and obesity hypoventilation syndrome (OHS). Therefore, the objective of the present study was to compare NIV failure rates betwe  ...[more]