Noninvasive positive-pressure ventilation as a weaning strategy for intubated adults with respiratory failure
نویسندگان
چکیده
منابع مشابه
Noninvasive ventilation as a weaning strategy for mechanical ventilation in adults with respiratory failure: a Cochrane systematic review.
BACKGROUND Noninvasive ventilation has been studied as a means of reducing complications among patients being weaned from invasive mechanical ventilation. We sought to summarize evidence comparing noninvasive and invasive weaning and their effects on mortality. METHODS We identified relevant randomized and quasirandomized trials through searches of databases, conference proceedings and grey l...
متن کاملNoninvasive positive-pressure ventilation in patients with acute respiratory failure.
This article provides a systematic review of the literature on the application of noninvasive ventilation in various forms of hypercapnic and hypoxemic respiratory failures. A description of the underlying pathophysiology is followed by a review of physiologic data explaining the mechanisms of action of noninvasive ventilation. A critical review of clinical studies is presented with specific su...
متن کاملNoninvasive positive-pressure ventilation for respiratory failure after extubation.
BACKGROUND The need for reintubation after extubation and discontinuation of mechanical ventilation is not uncommon and is associated with increased mortality. Noninvasive positive-pressure ventilation has been suggested as a promising therapy for patients with respiratory failure after extubation, but a single-center, randomized trial recently found no benefit. We conducted a multicenter, rand...
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Methods Observational study performed in a 17 beds medicalsurgical ICU. Time of study was 14 months. Consecutive mechanically ventilated patients with COPD and/or cardiac failure were included. The variables analyzed were age, sex, ICU diagnosis, APACHE II at admission in ICU, fluid balance, ICU length of stay, tracheotomy, rate of reintubation. We distinguish two strategies of extubation based...
متن کاملNoninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
Our current state of knowledge on noninvasive positive pressure ventilation (NPPV) and technical aspects are discussed in the present review. In patients with chronic obstructive pulmonary disease, NPPV can be considered a valid therapeutic option to prevent endotracheal intubation. Evidence suggests that, before eventual endotracheal intubation, NPPV should be considered as first-line interven...
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ژورنال
عنوان ژورنال: Cochrane Database of Systematic Reviews
سال: 2013
ISSN: 1465-1858
DOI: 10.1002/14651858.cd004127.pub3