Factors predicting successful noninvasive ventilation in acute lung injury

Yoshida, Yasuhiko; Takeda, Satoru; Akada, Shinji; Hongo, Takashi; Tanaka, Keiji; Sakamoto, Atsuhiro

doi:10.1007/s00540-008-0637-z

Cited by 44 publications

(41 citation statements)

References 26 publications

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“…We also emphasize here that only an NPPE patient with clear consciousness and patent airway after complete relief of the airway obstruction is a candidate for NPPV. Previous studies have suggested, not for NPPE but in general, that NPPV should be administered to limited patients [10,12]. Because of the nature of postoperative NPPE, which is most often accompanied by insecurity of the airway and impaired consciousness caused by remaining anesthetic agents, we believe the attachment of NPPV requires more prudent decisions than for general use.…”

Section: Discussionmentioning

confidence: 97%

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Noninvasive positive pressure ventilation in patients with perioperative negative pressure pulmonary edema

et al. 2010

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Negative pressure pulmonary edema (NPPE) is a noncardiogenic pathological process that is treated with invasive ventilation via a tracheal tube. To investigate the feasibility and safety of noninvasive positive pressure ventilation (NPPV) as an alternative treatment for NPPE, we retrospectively reviewed charts of 15 perioperative NPPE patients. Eight patients were treated by NPPV and 7 were treated by invasive ventilation. Patient characteristics, duration of NPPV, duration of intensive care unit (ICU) stay, and maximum airway pressure were investigated for the NPPV-treated patients. All patients treated by NPPV had a patent airway after complete relief of the airway obstruction and recovered from NPPE symptoms within one postoperative day. Arterial blood gas analysis showed a significant improvement in the PaO(2)/FiO(2) ratio from 132 + or - 30 mmHg in the operating room to 282 + or - 77 mmHg at discontinuation of NPPV. Serious complications, such as ventilator-associated pneumonia or aspiration pneumonia, did not occur, and intubation was not required for any patient. Favorable outcomes in these cases suggest that NPPV could be a feasible and safe alternative for treating NPPE if the patency of the airway is restored.

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Section: Discussionmentioning

confidence: 97%

“…It is also reported that, with selected patients, NPPV will benefit hypoxemic respiratory failure [10,11]. However, the efficacy of NPPV for NPPE, another type of pulmonary edema, is not well understood, and only a few case studies have examined the eligibility of NPPV for perioperative NPPE [7].…”

Section: Introductionmentioning

confidence: 98%

Noninvasive positive pressure ventilation in patients with perioperative negative pressure pulmonary edema

et al. 2010

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“…However, in the study of Lin [18], RSBI failed to be considered as good predicting factor of successful NIMV intervention in patients with acute respiratory failure. Youshida et al [19], observed that patients in need of intubation had significantly higher APACHE II scores and lower arterial pH, as APACHE II score higher than 17 and respiratory rate above 25 breaths/minute after receiving NIMV for 1 hour were introduced as independent determinants of requiring intubation.…”

Section: Discussionmentioning

confidence: 99%

Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index

Megahed¹

2017

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Acute exacerbation of chronic obstructive pulmonary disease (COPD) is a common cause of intensive care unit (ICU) admission due to respiratory failure which often necessitates mechanical ventilation (MV). This study evaluated the rapid shallow breathing index (RSBI) as a predicator of ventilatory support necessity in patients admitted with acute exacerbation of COPD. This study was conducted on 100 acute COPD exacerbation patients who admitted to the critical care department at Alexandria main university hospital. All enrolled patients (n=80) were subjected on admission to RSBI measurement on admission and every 30 minutes for the first 2 hours. The RSBI cutoff value that discriminated best between the need for noninvasive and invasive MV using the Receiver Operating Characteristic (ROC) was > 241 breath/minute/Liter, it showed a sensitivity of 88.33% and a specificity of 100%. RSBI may be a good predictor of ventilatory support necessity in acute exacerbation of COPD.

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“…Phua et al [23] found that NIV was more effective in preventing endotracheal intubation in hypercapnic ARF due to COPD than non-COPD conditions. In the study by Yoshida et al [26] studied a total of 47 patients with ALI who received NIV, and 33 patients (70%) successfully avoided endotracheal intubation.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Noninvasive Positive Pressure Ventilation in the Management of Acute Respiratory Failure

A¹

2017

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Factors predicting successful noninvasive ventilation in acute lung injury

Abstract: We determined an APACHE II score of more than 17 and a respiratory rate of more than 25 breaths x min(-1) after 1 h of NIV as factors predicting the need for endotracheal intubation in ALI patients treated with NIV.

Cited by 44 publications

References 26 publications

Noninvasive positive pressure ventilation in patients with perioperative negative pressure pulmonary edema

Noninvasive positive pressure ventilation in patients with perioperative negative pressure pulmonary edema

Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index

Effectiveness of Noninvasive Positive Pressure Ventilation in the Management of Acute Respiratory Failure

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