| Autor: |
Killen H. Briones-Claudett, Adela Romero Lopez, Mónica H. Briones-Claudett, Mariuxi del Pilar Cabrera Baños, Killen H. Briones Zamora, Diana C. Briones Marquez, Andrea P. Icaza-Freire, Luc J. I. Zimmermann, Antonio W. D. Gavilanes, Michelle Grunauer |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Critical Care Research and Practice, Vol 2021 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2090-1313 |
| DOI: |
10.1155/2021/7793657 |
| Popis: |
Introduction. This study intends to determine the Apnea-Hypopnea Index in patients hospitalized with acute hypercapnic respiratory failure from chronic obstructive pulmonary disease exacerbation, who require noninvasive ventilation with average volume-assured pressure support (AVAPS), as well as describes the clinical characteristics of these patients. Materials and Methods. We designed a single-center prospective study. The coexistence of Apnea-Hypopnea Index and clinical, gasometric, spirometric, respiratory polygraphy, and ventilatory characteristics were determined. The clinical characteristics found were categorized and compared according to the Apnea-Hypopnea Index (AHI) 15. A p value 5 was present in 24 of the 30 patients recruited (80%). Neck circumference (cm), Epworth scale, and Mallampati score evidenced significant differences when compared to the patient’s AHI 15 (p5 had longer hospital admissions, prolonged periods on mechanical ventilation, and a higher percentage of intubation rates. Conclusion. Apnea-Hypopnea Index and chronic obstructive pulmonary disease exacerbation are a frequent association found in patients with acute hypercapnic respiratory failure and COPD exacerbations that require NIV. This association could be a determining factor in the response to NIV, especially when AVAPS is used as a ventilatory strategy. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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