Search Tag: noninvasive ventilation

ICU Management

Oxygen Therapy in COVID-19 Patients: The Role of HFNC and CPAP

2021 24 Jun

Oxygen therapy and mechanical ventilation in patients with COVID-19 and steps to choose the right therapeutic strategy for each patient. Introduction Severe acute respiratory syndrome coronavirus CoV-2 is the highly contagious viral agent responsible for the ongoing COVID-19 pandemic. COVID-19 is the name of the syndrome caused by SARS-CoV-2... Read more

ICU Management

Apnoeic Oxygenation for Intubation - Where is the Evidence?

2021 24 Jun

Apnoeic oxygenation can be used in critically ill patients, without replacing preoxygenation. Introduction Hypoxaemia is one of the most common complications during tracheal intubation of critically ill patients (Jaber et al. 2006; Russotto et al. 2021) with an incidence of severe hypoxaemia reaching up to 50% (De Jong et al. 2013; Jaber et... Read more

ICU Management

Nutrition

2019 26 Sep

The critically ill patient is often unable to feed by mouth. This condition, in some patients, can range from days to months. It is imperative that these patients receive macronutrients either through enteral or parenteral nutrition. If they don't, there is a risk of an energy deficit that could lead to loss of lean body mass and subsequently, other... Read more

ICU Management

Noninvasive Ventilation in Early Stage Mild ARDS

2019 06 Sep

A recent study assessed the ability of early noninvasive ventilation (NIV) intervention to decrease the need for invasive ventilation in patients with mild forms of acute respiratory distress syndrome (ARDS). This method has already proved successful for acute respiratory failure patients but has not been tested in ARDS.   Use of NIV in ARDS patients... Read more

ICU Management

Hospital factors may influence NIV outcomes even in low-evidence use

2017 07 Nov

Strong evidence supports use of noninvasive ventilation (NIV) for patients with respiratory distress from chronic obstructive pulmonary disease and heart failure – i.e., strong evidence conditions (SECs). A new study of patients hospitalised in California shows that most patients who received NIV did not have conditions with strong supporting evidence... Read more

ICU Management

NIV After Cardiothoracic Surgery Reviewed

2016 19 Oct

A systematic review and meta-analysis of 14 randomised controlled trials (RCTs), including 1740 patients, that compared noninvasive ventilation (NIV) with usual care after cardiothoracic surgery found minimal effect overall of NIV on mortality risk, endotracheal intubation, respiratory, cardiovascular and other complications, respiratory rate, heart... Read more

ICU Management

Noninvasive Helmet Ventilation Associated with Lower Mortality, Intubation Rate, Complications

2016 26 Aug

A systematic review and meta-analysis of studies on noninvasive ventilation (NIV) for patients with acute respiratory failure (ARF) comparing use of helmet with face mask techniques found that helmet use was associated with lower hospital mortality, intubation rate and complications. The study is published in Critical Care. See Also : Helmet-Based... Read more

ICU Management

Is Noninvasive Ventilation for Acute Lung Injury Effective?

2016 15 Jun

A recent systematic review and meta-analysis of noninvasive ventilation (NIV) for acute lung injury (ALI) or respiratory failure found that adult patients treated with NIV had a substantially lower intubation rate, shorter ICU stay, and lower hospital mortality compared with those using standard oxygen therapy. Xiaoli Xu, MD, of the Department of Infection... Read more

ICU Management

Helmet-Based Ventilation Had Better Results than Facemask for ARDS Patients

2016 17 May

Results of a trial of helmet-based ventilation have shown that using a transparent air-tight helmet instead of a facemask helped critically ill patients breathe better and reduced their need for mechanical ventilation. In the trial, patients who were treated with helmet ventilation spent less time in the intensive care unit and lower mortality. The... Read more

ICU Management

Guideline: Ventilatory Management of Acute Hypercapnic Respiratory Failure

2016 05 Apr

The British Thoracic Society / Intensive Care Society guideline on ventilatory management of acute hypercapnic respiratory failure has been updated and published open access as a summary and full text. The guideline aims to outline the evidence of suboptimal care in acute hypercapnic respiratory failure (AHRF) in the UK, provide an overview of the... Read more