González RR, Barcón DL

Language: Spanish
References: 13
Page: 1-13
PDF size: 259.06 Kb.

ABSTRACT

Introduction: Non-invasive mechanical ventilation in intensive care units has been an efficient alternative in patients with respiratory dysfunction.
Objective: To describe the modalities of non-invasive ventilation used in an intensive care unit and the results obtained with them.
Methods: An observational, descriptive and cross-sectional study was carried out in the Intensive Care Unit 2, at Abel Santamaría Cuadrado General Teaching Hospital, in Pinar del Río, from September 2017 to January 2018. The sample of study consisted of 53 patients. The variables analyzed were age, sex, ventilatory modality, diagnosed disease, respiratory cycles and respiratory parameters. Absolute and relative frequencies were used for the statistical analysis of the variables.
Results: The age group from 55 to 59 (32%) and the male sex predominated (66%). Biphasic positive airway pressure was mostly used in the diagnosis of acute chronic obstructive pulmonary disease (35.3%), and it was used the most frequently after 24 hours. The use of up to 5 respiratory cycles was superior in the patients studied, 79.2%, of which 54.7% were treated with biphasic positive airway pressure. The results of the respiratory parameters were more favorable with the biphasic positive pressure modality in the airway with respect to the continuous airway pressure, in the range of 1 to 12 hours.
Conclusions: It was possible to verify that patients with non-invasive mechanical ventilation who received treatment with biphasic positive airway pressure and continuous airway modality, had clinical improvement, adequate gasometric indicators and favorable monitoring parameters, although the first modality gave more favorable results, as well.

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