Use of non-invasive ventilation in UK emergency departments

Browning, J; Atwood, Benjamin; Gray, Alasdair

doi:10.1136/emj.2006.038950

Cited by 22 publications

(17 citation statements)

References 9 publications

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“…OHS, which for NIV was shown to be equally effective with better outcomes than COPD by Carrillo et al, was the second most common indication after COPD (30). We found the rate of physicians using NIV for CPE to be similar or quite lower than rates in prior surveys, which could be due to the application of NIV by cardiologists without consulting pulmonologists in their units (14,(16)(17)(18). Probably based on the growing evidence on the use of NIV during weaning or for post-extubation ARF, more than 60% of our responders noted quite frequent NIV use in these conditions (28).…”

Section: Discussioncontrasting

confidence: 40%

“…Predictors of NIV success can be listed as the cause and type of ARF, the severity of the underlying disease, the experience and skills of the NIV-applying team, the equipment used or the location of the application (10,11). Surveys done in Europe, America and India reflected the physicians and respiratory therapists' variable attitudes to NIV use (12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

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Approach of pulmonologists in turkey to noninvasive mechanical ventilation use in acute respiratory failure

Ergan²,

H³

et al. 2015

Tuberk Toraks

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Section: Discussioncontrasting

confidence: 40%

Section: Introductionmentioning

confidence: 99%

Approach of pulmonologists in turkey to noninvasive mechanical ventilation use in acute respiratory failure

Ergan²,

H³

et al. 2015

Tuberk Toraks

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“…Over the last decade, noninvasive, positive-pressure ventilation (NIPPV) has started playing an increasingly important role in the treatment of respiratory failure due to acute exacerbations (6)(7)(8)(9)(10)(11)(12). This is because clinical trials demonstrate good efficacy for NIPPV in reducing risk of intubation and mortality, health care providers are becoming increasingly confident with its use, and unlike IMV, it can be implemented outside the ICU, freeing up ICU beds.…”

mentioning

confidence: 99%

Outcomes of Noninvasive Ventilation for Acute Exacerbations of Chronic Obstructive Pulmonary Disease in the United States, 1998–2008

Chandra

Stamm

Taylor

et al. 2012

Am J Respir Crit Care Med

363

262

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Rationale: The patterns and outcomes of noninvasive, positivepressure ventilation (NIPPV) use in patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease (COPD) nationwide are unknown. Objectives: To determine the prevalence and trends of noninvasive ventilation for acute COPD. Methods: We used data from the Healthcare Cost and Utilization Project's Nationwide Inpatient Sample to assess the pattern and outcomes of NIPPV use for acute exacerbations of COPD from 1998 to 2008. Measurements and Main Results: An estimated 7,511,267 admissions for acute exacerbations occurred from 1998 to 2008. There was a 462% increase in NIPPV use (from 1.0 to 4.5% of all admissions) and a 42% decline in invasive mechanical ventilation (IMV) use (from 6.0 to 3.5% of all admissions) during these years. This was accompanied by an increase in the size of a small cohort of patients requiring transition from NIPPV to IMV. In-hospital mortality in this group appeared to be worsening over time. By 2008, these patients had a high mortality rate (29.3%), which represented 61% higher odds of death compared with patients directly placed on IMV (95% confidence interval, 24-109%) and 677% greater odds of death compared with patients treated with NIPPV alone (95% confidence interval, 475-948%). With the exception of patients transitioned from NIPPV to IMV, in-hospital outcomes were favorable and improved steadily year by year. Conclusions: The use of NIPPV has increased significantly over time among patients hospitalized for acute exacerbations of COPD, whereas the need for intubation and in-hospital mortality has declined. However, the rising mortality rate in a small but expanding group of patients requiring invasive mechanical ventilation after treatment with noninvasive ventilation needs further investigation.Keywords: COPD; positive-pressure ventilation; artificial respiration; epidemiology Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the United States and is projected to become the third leading cause of death by 2020 (1, 2). A large proportion of morbidity and mortality from COPD results from acute exacerbations, which lead to 1.5 million emergency room visits and 750,000 hospitalizations annually in the United States (3, 4). Therefore, to improve outcomes and reduce mortality due to COPD, we need to optimize the management of acute exacerbations (5), including the correct use of respiratory support modalities to treat patients with respiratory failure.Over the last decade, noninvasive, positive-pressure ventilation (NIPPV) has started playing an increasingly important role in the treatment of respiratory failure due to acute exacerbations (6-12). This is because clinical trials demonstrate good efficacy for NIPPV in reducing risk of intubation and mortality, health care providers are becoming increasingly confident with its use, and unlike IMV, it can be implemented outside the ICU, freeing up ICU beds. Therefore, it appears likely that NIPPV use will continue to increa...

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“…Browning et al found that NIPPV was routinely used in emergency rooms, especially for patients with acute cardiogenic pulmonary edema and COPD exacerbation (39). Similarly, Burnes et al conducted a literature review, which concluded that acute COPD and CHF exacerbation were the most common indications for NIPPV.…”

Section: Discussionmentioning

confidence: 99%

Noninvasive Positive-Pressure Ventilation: A Cross Sectional Descriptive Study of Our First Experience in Iran

Fakharian

Masouleh

Karimzadeh

et al. 2017

Iran Red Crescent Med J

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Use of non-invasive ventilation in UK emergency departments

Cited by 22 publications

References 9 publications

Approach of pulmonologists in turkey to noninvasive mechanical ventilation use in acute respiratory failure

Approach of pulmonologists in turkey to noninvasive mechanical ventilation use in acute respiratory failure

Outcomes of Noninvasive Ventilation for Acute Exacerbations of Chronic Obstructive Pulmonary Disease in the United States, 1998–2008

Noninvasive Positive-Pressure Ventilation: A Cross Sectional Descriptive Study of Our First Experience in Iran

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