Noninvasive mechanical ventilation with average volume assured pressure support (AVAPS) in patients with chronic obstructive pulmonary disease and hypercapnic encephalopathy
| Autor: | Monica H. Briones Claudett, Ricardo Soto Espinoza, Antonio M Esquinas Rodriguez, Miguel Chung Sang Wong, Gumersindo Gonzalez Diaz, Michelle Grunauer Andrade, Alberto Nuques Martinez, Mayra Montalvo, Killen H. Briones Claudett |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male Critical Care medicine.medical_treatment International Cooperation Encephalopathy Unconsciousness Hypercapnia Positive-Pressure Respiration Pulmonary Disease Chronic Obstructive Positive airway pressure medicine Humans Glasgow Coma Scale Prospective Studies Tidal volume APACHE Aged Mechanical ventilation Aged 80 and over COPD Noninvasive Ventilation business.industry Chronic obstructive pulmonary disease BiPAP S/T with AVAPS Length of Stay medicine.disease Hypercapnic encephalopathy BiPAP S/T (spontaneous/time) Anesthesia Arterial blood Female business Airway Respiratory Insufficiency Research Article |
| Zdroj: | BMC Pulmonary Medicine |
| ISSN: | 1471-2466 |
| Popis: | Background Non-invasive mechanical ventilation (NIV) in patients with acute respiratory failure has been traditionally determined based on clinical assessment and changes in blood gases, with NIV support pressures manually adjusted by an operator. Bilevel positive airway pressure-spontaneous/timed (BiPAP S/T) with average volume assured pressure support (AVAPS) uses a fixed tidal volume that automatically adjusts to a patient’s needs. Our study assessed the use of BiPAP S/T with AVAPS in patients with chronic obstructive pulmonary disease (COPD) and hypercapnic encephalopathy as compared to BiPAP S/T alone, upon immediate arrival in the Emergency-ICU. Methods We carried out a prospective interventional match-controlled study in Guayaquil, Ecuador. A total of 22 patients were analyzed. Eleven with COPD exacerbations and hypercapnic encephalopathy with a Glasgow Coma Scale (GCS) |
| Databáze: | OpenAIRE |
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