nach oben

Erschienen in:

01.10.2015

Where is Noninvasive Ventilation Actually Delivered for Acute Respiratory Failure?

verfasst von: Aylin Ozsancak Ugurlu, Samy S. Sidhom, Ali Khodabandeh, Michael Ieong, Chester Mohr, Denis Y. Lin, Irwin Buchwald, Imad Bahhady, John Wengryn, Vinay Maheshwari, Nicholas S. Hill

Erschienen in: Lung | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Few studies have examined locations of noninvasive ventilation (NIV) application for acute respiratory failure (ARF). We aimed to track actual locations of NIV delivery and related outcomes.

Methods

Observational cohort study based at 8 acute care hospitals in Massachusetts on adult patients admitted for ARF requiring ventilatory support during pre-determined time intervals.

Results

Of 1225 ventilator starts, 499 were NIV; 209 (42 %) in intensive care units (ICU), 185 (37 %) in emergency departments (ED), 91 (18 %) on general wards, and 14 (3 %) in other units. Utilization (% of all ventilator starts) (1), success (2) and in-hospital mortality (3) rates for patients initiated on NIV in ICU, ED, and general and other wards were (1) 38, 36, 73, and 52 %, (2) 60, 77, 68, and 93 % and (3) 25, 12, 17, and 0 %, respectively (p < 0.05 for all). Patients with acute-on-chronic lung disease (ACLD) and acute pulmonary edema (APE) were begun on NIV most often in EDs and patients with ‘de novo’ ARF and neurologic disorders most often in ICU’s. Approximately 2/3 of patients begun on NIV outside of ICUs were transferred within 72 h to ICUs, wards or other units.

Conclusions

Most NIV starts occurred in ICUs and EDs but utilization rate was highest (>50 %) on general wards where a fifth of NIV starts took place. Actual location depended on etiology of ARF as patients with ACLD and APE were started more often in EDs and “de novo” ARF in ICU. NIV failure and mortality rates were higher in ICUs related to the greater proportion of patients with “de novo” ARF.

Keenan SP, Sinuff T, Burns KE et al (2011) Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting. CMAJ 183:E195–214PubMedCentralCrossRefPubMed

American Thoracic Society (2001) European Respiratory Society, European Society of Intensive Care Medicine, Societe de Reanimation de Langue Francaise. International consensus conferences in intensive care medicine: noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 163:283–291CrossRef

British Thoracic Society Standards of Care Committee (2002) Non-invasive ventilation in acute respiratory failure. Thorax 57:192–211CrossRef

Walkey AJ, Wiener RS (2013) Use of noninvasive ventilation in patients with acute respiratory failure, 2000–2009: a population-based study. Ann Am Thorac Soc 10:10–17PubMedCentralCrossRefPubMed

Stefan MS, Shieh MS, Pekow PS et al (2013) Epidemiology and outcomes of acute respiratory failure in the United States, 2001 to 2009: a national survey. J Hosp Med 8:76–82PubMedCentralCrossRefPubMed

Demoule A, Girou E, Richard JC et al (2006) Increased use of noninvasive ventilation in French intensive care units. Intensive Care Med 32:1747–1755CrossRefPubMed

Esteban A, Ferguson ND, Meade MO et al (2008) Evolution of mechanical ventilation in response to clinical research. Am J Respir Crit Care Med 177:170–177CrossRefPubMed

Nava S (2013) Behind a mask: tricks, pitfalls, and prejudices for noninvasive ventilation. Respir Care 58:1367–1376CrossRefPubMed

Hess DR (2013) Noninvasive ventilation for acute respiratory failure. Respir Care 58:950–972CrossRefPubMed

10.

Chandra D, Stamm JA, Taylor B et al (2011) Outcomes of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease in the United States, 1998–2008. Am J Respir Crit Care Med 185:152–159CrossRefPubMed

11.

Ugurlu AO, Sidhom SS, Khodabandeh A et al (2014) Use and outcomes of noninvasive positive pressure ventilation in acute care hospitals in Massachusetts. Chest 145:964–971CrossRef

12.

Schnell D, Timsit JF, Darmon M et al (2014) Noninvasive mechanical ventilation in acute respiratory failure: trends in use and outcomes. Intensive Care Med 40:582–591CrossRefPubMed

13.

Ambrosino N (2012) Should we perform noninvasive ventilation anywhere? Expert Rev Respir Med 6:131–133CrossRefPubMed

14.

Hill NS (2009) Where should noninvasive ventilation be delivered? Respir Care 54:62–70CrossRefPubMed

15.

Elliott MW, Confalonieri M, Nava S (2002) Where to perform noninvasive ventilation? Eur Respir J 19:1159–1166CrossRefPubMed

16.

Lorencio C, Sirvent JM (2012) Noninvasive ventilation: when, how and where? Med Intensiva 36:601–603CrossRefPubMed

17.

Demoule A (2009) Non-invasive ventilation: how far away from the ICU? Intensive Care Med 35:192–194CrossRefPubMed

18.

Kacmarek RM, Villar J (2012) Acute application of noninvasive ventilation outside the ICU: when is it safe? Respir Care 57:815–816CrossRefPubMed

19.

Maheshwari V, Paioli D, Rothaar R et al (2006) Utilization of noninvasive ventilation in acute care hospitals: a regional survey. Chest 129:1226–1233CrossRefPubMed

20.

Cabrini L, Antonelli M, Savoia G et al (2011) Non-invasive ventilation outside of the intensive care unit: an Italian survey. Minerva Anestesiol 77:313–322PubMed

21.

Plant PK, Owen JL, Elliott MW (2000) Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial. Lancet 355:1931–1935CrossRefPubMed

22.

Farha S, Ghamra ZW, Hoisington ER et al (2006) Use of noninvasive positive-pressure ventilation on the regular hospital ward: experience and correlates of success. Respir Care 51:1237–1243PubMed

23.

Cabrini L, Idone C, Colombo S et al (2009) Medical emergency team and non-invasive ventilation outside ICU for acute respiratory failure. Intensive Care Med 35:339–343CrossRefPubMed

24.

Schneider AG, Calzavacca P, Mercer I et al (2011) The epidemiology and outcome of medical emergency team call patients treated with non-invasive ventilation. Resuscitation 82:1218–1223CrossRefPubMed

25.

Schettino G, Altobelli N, Kacmarek RM (2008) Noninvasive positive-pressure ventilation in acute respiratory failure outside clinical trials: experience at the Massachusetts General Hospital. Crit Care Med 36:441–447CrossRefPubMed

26.

Harris C, Saskin R, Burns KE (2010) Noninvasive ventilation initiation in clinical practice: a six-year prospective, observational study. Can Respir J 17:123–131PubMedCentralPubMed

27.

Hess DR, Pang JM, Camargo CA Jr (2009) A survey of the use of noninvasive ventilation in academic emergency departments in the United States. Respir Care 54:1306–1312PubMed

28.

Wang S, Singh B, Tian L et al (2013) Epidemiology of noninvasive mechanical ventilation in acute respiratory failure—a retrospective population-based study. BMC Emerg Med 13:6PubMedCentralCrossRefPubMed

29.

Scala R, Corrado A, Confalonieri M et al (2011) Increased number and expertise of italian respiratory high-dependency care units: the second national survey. Respir Care 56:1100–1107CrossRefPubMed

30.

Tomii K, Seo R, Tachikawa R et al (2009) Impact of noninvasive ventilation (NIV) trial for various types of acute respiratory failure in the emergency department; decreased mortality and use of the ICU. Respir Med 103:67–73CrossRefPubMed

31.

Paus-Jenssen ES, Reid JK, Cockcroft DW et al (2004) The use of noninvasive ventilation in acute respiratory failure at a tertiary care center. Chest 126:165–172CrossRefPubMed

32.

Sinuff T, Cook D, Randall J et al (2000) Noninvasive positive-pressure ventilation: a utilization review of use in a teaching hospital. CMAJ 163:969–973PubMedCentralPubMed

33.

Browning J, Atwood B, Gray A (2006) Use of non-invasive ventilation in UK emergency departments. Emerg Med J 23:920–921PubMedCentralCrossRefPubMed

34.

Conti G, Antonelli M, Navalesi P et al (2002) Noninvasive vs. conventional mechanical ventilation in patients with chronic obstructive pulmonary disease after failure of medical treatment in the ward: a randomized trial. Intensive Care Med 28:1701–1707CrossRefPubMed

35.

Roberts CM, Stone RA, Buckingham RJ et al (2010) Acidosis, non-invasive ventilation and mortality in hospitalised COPD exacerbations. Thorax 66:43–48CrossRefPubMed

36.

Winck JC, Goncalves MR (2011) Noninvasive ventilation: on the road to organization or towards the Tower of Babel? Minerva Anestesiol 77:263–265PubMed

37.

Nava S, Ferrer M, Esquinas A et al (2013) Palliative use of non-invasive ventilation in end-of-life patients with solid tumours: a randomised feasibility trial. Lancet Oncol 14:219–227CrossRefPubMed

38.

Azoulay E, Kouatchet A, Jaber S et al (2012) Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med 39:292–301CrossRefPubMed

39.

Azoulay E, Demoule A, Jaber S et al (2011) Palliative noninvasive ventilation in patients with acute respiratory failure. Intensive Care Med 37:1250–1257CrossRefPubMed

40.

Azoulay E, Kouatchet A, Jaber S et al (2013) Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med 39:292–301CrossRefPubMed

Titel: Where is Noninvasive Ventilation Actually Delivered for Acute Respiratory Failure?
verfasst von: Aylin Ozsancak Ugurlu
Samy S. Sidhom
Ali Khodabandeh
Michael Ieong
Chester Mohr
Denis Y. Lin
Irwin Buchwald
Imad Bahhady
John Wengryn
Vinay Maheshwari
Nicholas S. Hill
Publikationsdatum: 01.10.2015
Verlag: Springer US
Erschienen in: Lung / Ausgabe 5/2015
Print ISSN: 0341-2040
Elektronische ISSN: 1432-1750
DOI: https://doi.org/10.1007/s00408-015-9766-y

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Alphablocker schützt vor Miktionsproblemen nach der Biopsie

16.05.2024 alpha-1-Rezeptorantagonisten Nachrichten

Nach einer Prostatabiopsie treten häufig Probleme beim Wasserlassen auf. Ob sich das durch den periinterventionellen Einsatz von Alphablockern verhindern lässt, haben australische Mediziner im Zuge einer Metaanalyse untersucht.

Eingreifen von Umstehenden rettet vor Erstickungstod!

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Schadet Ärger den Gefäßen?

14.05.2024 Arteriosklerose Nachrichten

In einer Studie aus New York wirkte sich Ärger kurzfristig deutlich negativ auf die Endothelfunktion gesunder Probanden aus. Möglicherweise hat dies Einfluss auf die kardiovaskuläre Gesundheit.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2015

Eucapnic Voluntary Hyperventilation to Detect Exercise-Induced Bronchoconstriction in Cystic Fibrosis

Retraction Note to: ATF3 and Extracellular Matrix-Related Genes Associated with the Process of Chronic Obstructive Pulmonary

Sleep Apnea, Depression, and Sleep Problems: Inter-relationship in Patients with Severe Obstructive Sleep Apnea

Mortality on the Waiting List for Lung Transplantation in Patients with Idiopathic Pulmonary Fibrosis: A Single-Centre Experience

Tuberous Sclerosis Complex: State-of-the-Art Review with a Focus on Pulmonary Involvement