Non-invasive mechanical ventilation in acute respiratory failure.
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Keywords:
Acute respiratory failure
Objective To investigate the effect of artificial controlled mechanical ventilation in the treatment of patients with acute life-threatening respiratory failure.Methods 36 patients with acute life-threatening respiratory failure were treated with artificial controlled mechanical ventilation.Results In all patients, 29 patients successfully received, 7 patients died, 5 patients occurred complication. Conclusion Artificial controlled mechanical ventilation is an effective method in the treatment of patients with acute life-threatening respiratory failure.
Acute respiratory failure
Artificial ventilation
Life saving
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Objective:To investigate the effect of mechanical ventilation on the patients with respiratory failure caused by acute poisoning. Methods: 28 patients with respiratory failure as a result of acute poisoning treated by mechanical ventilation were analyzed retrospectively. Results: 25 cases were cured and 3 cases were died. The time of mechanical ventilation were from 10 hrs to 9 days, the average time was 49.6 hrs. The complication associated with mechanical ventilation was that 21 cases suffered from pneumonia and 3 cases had low blood pressure. Conclusion: Mechanical ventilation on the case with respiratory failure as a result of acute poisoning is effective.
Acute respiratory failure
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Objective
To observe the effect of invasive mechanical ventilation in different times for chronic obstructive pulmonary disease (AECOPD) combined with severe respiratory failure.
Methods
136 patients with AECOPD combining severe respiratory failure treated at our hospital from August, 2014 to September, 2017 were selected, and were divided into an observation group and a control group by random number table method, 68 cases for each group. The observation group were treated with invasive mechanical ventilation within 6 h and the control group after 6 h. The changes of blood gas indexes, clinical indicators, and complications were compared.
Results
The PaCO2 was lower and the PaO2 and PaO2/FiO2 were higher after than before the treatment in both groups, and they were in the observation group than in the control group after the treatment, with statistical differences (all P < 0.05). The total invasive mechanical ventilation time, total mechanical ventilation time, and the ICU stay were (57.67±14.14) h, (152.57±27.74) h, and (6.71±1.36) d in the observation group, which were shorter than those in the control group, with statistical differences (all P < 0.05). The incidence ventilator associated pneumonia was lower in the observation group than in the control group (10.29% vs. 25.00%), with a statistical difference (P < 0.05).
Conclusions
Patients with AECOPD complicating severe respiratory failure and clear invasive mechanical ventilation related indications taking invasive mechanical ventilation therapy as early as possible can better improve their blood gas indexes and reduce mechanical ventilation time and the incidence of related complications, and is safe.
Key words:
Chronic obstructive pulmonary disease; Acute exacerbation; Severe respiratory failure; Invasive mechanical ventilation.
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Objective To investigate the clinical value of mechanical ventilation on the patients with acute severe organo phosphorus pesticide poisoning and respiratory failure.Methods From May 2003 to December 2010,a total of 92 cases with ASOPP and respiratory failure were analyzed retrospectively.In these cases,47 patients were treated with mechanical ventilation(group A) and 45 patients were not treated with mechanical ventilation(group B).The length of hospitalization and curative effect were compared.Results The length of hospitalization was significant shorter and the curative effect was more apparent in the group A than those in the group B(P0.01).Conclusion Mechanical ventilation is an important method to treat ASOPP with respiratory failure.It can remarkably increase the incidence of clinical healing and shorten the length of hospitalization.
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Objective To explore the methods and to evaluate the efficacy of sequential invasive and non-invasive mechanical ventilation in the treatment of patients with pulmonary heart disease complicated with type-Ⅱ respiratory failure.Methods 60 PHD patients complicated with type-Ⅱ respiratory failure were all intubated and given mechanical ventilation.The patients were randomly and evenly divided into two groups when the indications of ventilator replacement appeared.The treatment group were extubated and given non-invasive mechanical ventilation,and the control group were continuously given invasive mechanical ventilation.Blood gas analysis,mortality,incidence of VAP,duration of mechanical ventilation and hospital stay were observed and compared between the two groups.Results There was no significant difference of curative effect between the two groups(P0.05),but the improvement of mortality,incidence of VAP,duration of mechanical ventilation and hospital stay were more pronounced in the treatment group than in the control group(P0.05).Conclusion The sequential invasive and non-invasive mechanical ventilation can lower the incidence of VAP and mortality and shorten the duration of mechanical ventilation and hospital stay in the treatment of pulmonary heart disease patients complicated with type-Ⅱ respiratory failure.
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Objective To explore the predisposing factors in the development of acute respiratory failure after abdominal surgery and the factors affecting the therapeutic effect of mechanical ventilation. Methods A (retrospective) study was undertaken for acute respiratory failure after abdominal surgery in 91 patients. The (underline) diseases, introducing causes and efficacy of mechanical ventilation were retrospectively analysed. (Results) Postoperative pneumonia was the cause of acute respiratory failure in 53 cases and ARDS caused by severe abdominal infection and severe acute pancreatitis in 38 cases. Of the 91 cases, complicated with COPD in 38 cases, severe malnutrion 32 cases, and hypokalemia 14 cases. Respiratory failure occurred at(4.08±2.45)days after operation. The duration of mechanical ventilation was(21.66±21.42)days; 33 cases died, and 58 cases were successfully recovered with mechanical ventilation.Conclusions The (management) of acute respiratory failure after abdominal asurgery should be rational use of mechanical (ventilation), adjustment of weaning strategy and avoidance of dependance on mechanical ventilation. Timely treatment of the primary disease, effective control of abdominal infection and aggressive symptomatic and (supportive) treatment are factors that affect the success or failure of mechanical ventilation.
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Objective To investigate the role of sequential in-noninvasive mechanical ventilation in AECOPD with severe respiratory failure.Methods From July 2006 to July 2008,32 patients with AECOPD with severe respiratory failure(the therapy group)were treated with sequential in-noninvasive mechanical ventilation.The other 30 patients From June 2004 to June 2006(the contrast group)were treated with invasive mechanical ventilation.The two groups were compared on the measures of progress of the disease,the rate of VAP and death,duration of invasive mechanical ventilation,total mechanical ventilation and days in ICU and hospital.Results Compared with the contrast group,the therapy group had lower rate of VAP and death,shorter duration of invasive mechanical ventilation and total mechanical ventilation,and fewer days in ICU and hospital.Conclusion Using properly while changing sequential in-nonivvasive mechanical ventilation,the therapeutic effects can be improved obviously.
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Aim To approach the therapeutic effect of mechanical ventilation on neonatal respiratory failure and the incidence of compli-cation.Methods Retrospective analysis was made of the clinical data that the patients who are diagnosed as respiratory failure received mechanical ventilation therapy in Anhui Provincial Hospital from the July of 2008 to the September of 2009.Results Of 36 cases with neonatal respiratory failure,20 cases were cured,2 died,14 gave up treatment,4 suffered from ventilator-associated pneumonia,1 from chronic lung disease.The differences between pre therapy and 1 hour post-treatment had statistical significance.Conclusion Mechani-cal ventilation therapy is an effective method in treating neonatal respiratory failure.
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Introduction It has been suggested that delayed intensive care unit (ICU) transfer is associated with increased mortality for patients with community-acquired pneumonia (CAP). However, ICU admission policies and patient epidemiology vary widely across the world depending on local hospital practices and organizational constraints. We hypothesized that the time from the onset of CAP symptoms to invasive mechanical ventilation could be a relevant prognostic factor. Methods One hundred patients with a CAP and necessitating invasive mechanical ventilation were included. Prospectively collected data were retrospectively analysed. Two study groups were identified based on the time of the initiation of invasive mechanical ventilation (rapid respiratory failure requiring mechanical ventilation within 72 h of the onset of CAP and progressive respiratory failure requiring invasive mechanical ventilation 4 or more days after the onset of CAP). Results Excepting more COPD patients in the rapid respiratory failure group and more patients with diabetes in the progressive respiratory failure group, these patients had similar characteristics. The overall in-hospital mortality rate was 28% in the rapid respiratory failure group and 51% in the progressive respiratory failure group (P = 0.03). The ICU and the day 30 mortality rates were higher in the progressive respiratory failure group (47% vs. 23%, P = 0.02; and 37.7% vs. 21.3%, P = 0.03; respectively). After adjusting for the propensity score and other potential confounding factors, progressive respiratory failure remained associated with hospital mortality only after 12 days of invasive mechanical ventilation. Conclusions This study suggested that the duration or delay in the time to intubation from the onset of CAP symptoms was associated with the outcomes in those patients who ultimately required invasive mechanical ventilation.
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Observating 13 neonates who accepted mechanical ventilating reatment for respiratory failure,the important methods about the nurse of the neonatal respiratory tract were summarized.The clinical nursing care,the nutrition surpporting,and the reducing complication of the mechanical ventilation in neonates were emphasized.
Respiratory care
Respiratory tract
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