Is a nasopharyngeal tube effective as interface to provide bi-level noninvasive ventilation?
| Autor: | Eneritz Velasco Arnaiz, Francisco José Cambra Lasaosa, Martí Pons-Òdena, Núria Millán García Del Real, Lluïsa Hernández Platero |
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| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
Pediatrics medicine.medical_specialty medicine.medical_treatment Airway Extubation Critical Care and Intensive Care Medicine Intensive Care Units Pediatric Heart Rate medicine Intubation Humans Hypnotics and Sedatives Prospective Studies Respiratory Tract Infections Noninvasive Ventilation business.industry Cardiovascular Surgical Procedures Infant Newborn Infant General Medicine Length of Stay medicine.disease Bronchiolitis Anesthesia Noninvasive ventilation business Inspiratory Capacity |
| Zdroj: | Respiratory care. 59(4) |
| ISSN: | 1943-3654 |
| Popis: | BACKGROUND: The nasopharyngeal tube (NT) is a potential interface for noninvasive ventilation (NIV) available in all health care centers. The aim of the study was to describe our experience in the use of the NT for bi-level NIV in infants and its effectiveness. METHODS: Prospective observational study from January 2007 to December 2010, including all patients ≤ 6 months old admitted to the pediatric ICU (PICU) and treated with NIV with two levels of pressure using the NT. Clinical data collected before starting NIV, and at 2, 8, 12 and 24 h, were analyzed following NIV initiation: first-line or initial NIV (i-NIV), elective postextubation NIV (e-NIV), and rescue postextubation NIV (r-NIV). The need for intubation was considered to be NIV failure. RESULTS: One hundred fifty-one episodes of NIV were included in the study, with 65% of patients having bronchiolitis. e-NIV was most frequently used (48%) (i-NIV 44%, r-NIV 8%), and the failure rate, 27% in total, was highest in the i-NIV group (37%) (e-NIV 18%, r-NIV 25%). Case patients with successful outcomes had shorter PICU stays (8.5 vs 13 d, P = .001) and hospital stays (17 vs 23 d, P = .03) stays. The NT needed to be changed for another interface in only 5 case patients, few complications (4 of 151 patients) were observed, and mortality (2 of 151 patients) was unrelated to NIV. CONCLUSIONS: Use of the NT showed 73% effectiveness, with few complications. The effectiveness was higher in e-NIV than i-NIV. |
| Databáze: | OpenAIRE |
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