Noninvasive Positive Pressure Ventilation in Treatment of Non-COPD Related Acute Respiratory Failure Cases

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タイトル ( eng )
Noninvasive Positive Pressure Ventilation in Treatment of Non-COPD Related Acute Respiratory Failure Cases
作成者
Kitahara Yoshihiro
Taooka Yasuyuki
Daga Haruko
Ohashi Nobuyuki
Arita Ken-Ichi
収録物名
Hiroshima Journal of Medical Sciences
53
2
開始ページ 17
終了ページ 21
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
We used Noninvasive Positive Pressure Ventilation (NPPV) in nine patients with acute respiratory failure (ARF), not related to chronic obstructive pulmonary disease (COPD). After separating the nine patients into a hypercapnic group (five patients) and a non-hypercapnic group (four patients), we investigated its effectiveness in physiological improvement and avoiding intubation. Dyspnea, physiological findings and ABG improved rapidly in both groups without serious adverse effects. The intubation avoidance rate was 66.7% (6 of 9) in total, and 80% in the hypercapnic group and 50% in the non-hypercapnic group. The ratio of PaO_2 to FiO_2 (P/F ratio) increased during NPPV in most cases where intubation could be avoided. It is worthwhile to use NPPV as a bridging therapy between O_2 therapy and invasive ventilation in patients with non-COPD related ARF, regardless of the existence of hypercapnia. Careful monitoring of the P/F ratio and complications is needed to make an appropriate decision whether avoiding intubation will be possible or not.
著者キーワード
Noninvasive Positive Pressure Ventilation
Non-COPD related acute respiratory failure
Hypercapnea
Ratio of PaO_2 to FiO_2 (P/F ratio)
NDC分類
医学 [ 490 ]
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University Medical Press
国立情報学研究所
発行日 2004-06
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
収録物識別子
[ISSN] 0018-2052
[NCID] AA00664312