The use of noninvasive ventilation in acute respiratory failure at a tertiary care center

Chest
Elizabeth S Paus-JenssenHeather A Ward

Abstract

Financial constraints and bed limitations frequently prevent admission of ill patients to a critical care setting. We surveyed the use of treatment with noninvasive ventilation (NIV) in clinical practice by physicians in a tertiary care, university-based teaching hospital and compared our findings with published recommendations for the use of NIV. Data were collected prospectively on all patients with acute respiratory failure (ARF) for whom NIV was ordered over a 5-month period. The respiratory therapy department was responsible for administering NIV on written order by a physician. The respiratory therapist completed a survey form with patient tracking data for each initiation of NIV. The investigators then surveyed the clinical chart for clinical data. NIV was utilized for the treatment of ARF on 75 occasions during the 5-month period. Fourteen patients (18%) received NIV for a COPD exacerbation, and 61 patients (82%) received it for respiratory failure of other etiologies. NIV was initiated in the emergency department in 32% of patients, in a critical care setting in 27% of patients, in a ward observation unit in 23% of patients, and on a general medical or surgical ward in 18% of patients. Arterial blood gases (ABGs) were ...Continue Reading

References

Dec 26, 1991·The New England Journal of Medicine·A D BerstenC J Baggoley
Sep 28, 1995·The New England Journal of Medicine·L BrochardF Lemaire
Jun 1, 1995·American Journal of Respiratory and Critical Care Medicine·N KramerN S Hill
Mar 11, 2000·American Journal of Respiratory and Critical Care Medicine·T J MartinM H Sanders
Nov 7, 2000·JAMA : the Journal of the American Medical Association·E GirouL Brochard
Nov 7, 2000·JAMA : the Journal of the American Medical Association·S P Keenan
Feb 17, 2001·American Journal of Respiratory and Critical Care Medicine·S Mehta, N S Hill
Aug 21, 2001·The European Respiratory Journal·M Wysocki, M Antonelli
Dec 1, 2001·The Journal of Emergency Medicine·M A Levitt
Feb 28, 2002·Thorax·UNKNOWN British Thoracic Society Standards of Care Committee
May 7, 2002·Critical Care Medicine·John V PeterDavid Warn
Nov 27, 2002·The European Respiratory Journal·A CorradoUNKNOWN European Respiratory Society Task Force on epidemiology of respiratory intermediate care in Europe

❮ Previous
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Citations

Nov 20, 2008·Intensive Care Medicine·Luca CabriniGiorgio Torri
Nov 20, 2008·Intensive Care Medicine·Alexandre Demoule
Jun 16, 2009·Intensive Care Medicine·Rita LinkoUNKNOWN FINNALI-study group
Jan 27, 2007·Critical Care Medicine·J Randall CurtisUNKNOWN Society of Critical Care Medicine Palliative Noninvasive Positive VentilationTask Force
Sep 11, 2010·Current Opinion in Pulmonary Medicine·Ahmed BaHammam
Feb 25, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Jose M De Miguel-YanesAlmudena Santano-Magariño
Jul 27, 2011·Critical Care : the Official Journal of the Critical Care Forum·Hsiu-Nien ShenHsi-Hsing Yang
Jul 1, 2009·Anesthesia Progress·Daniel E Becker, Andrew B Casabianca
Jun 15, 2011·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Karen Sumner, Ghasem Yadegafar
Aug 5, 2009·Archivos de bronconeumología·Myriam AburtoAlberto Capelastegui
Jun 10, 2008·Critical Care Clinics·Won Y Lee, Babak Mokhlesi
Jun 8, 2015·Revue des maladies respiratoires·C PerrinV Jullien
Aug 7, 2009·Pediatric Pulmonology·Maria José SolanaJavier Urbano
Sep 28, 2010·European Journal of Clinical Investigation·Luis Corral-GudinoMaría Teresa Moreiro-Barroso
Dec 4, 2004·The Journal of Allergy and Clinical Immunology·Beth E DavisDonald W Cockcroft
Nov 22, 2015·Revue des maladies respiratoires·L CabriniA Zangrillo
Jul 27, 2015·Lung·Aylin Ozsancak UgurluNicholas S Hill
May 18, 2016·Lung India : Official Organ of Indian Chest Society·Swetabh PurohitAshok Kuwal
Oct 25, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Luigi OlperOttavio Alfieri
Jun 1, 2005·American Journal of Physiology. Lung Cellular and Molecular Physiology·Shinya TsuchidaBrian P Kavanagh
Dec 1, 2013·Clinical Medicine : Journal of the Royal College of Physicians of London·Anita K Simonds, Alanna Hare
Mar 16, 2016·Thorax·A Craig DavidsonUNKNOWN BTS Standards of Care Committee Member, British Thoracic Society/Intensive Care Society Acute Hypercapnic Respiratory Failur
Mar 23, 2006·Dimensions of Critical Care Nursing : DCCN·Sam Stoltzfus

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