Non-invasive ventilation for surgical patients with acute respiratory failure

다국어 초록 (Multilingual Abstract)

Purpose: Acute respiratory failure is a relatively common complication in surgical patients, especially after abdominal surgery. Non-invasive ventilation (NIV) is increasingly used in the treatment of acute respiratory failure. We have assessed the usefulness of NIV in surgical patients with acute respiratory failure. Methods: We retrospectively reviewed the medical charts of patients who were admitted to a surgical intensive care unit between March 2007 and February 2008 with acute respiratory failure. The patients who have got respiratory care for secondary reason such as sepsis and encephalopathy were excluded from this study. Results: Of the 74 patients who were treated with mechanical ventilation, 15 underwent NIV and 59 underwent invasive ventilation. The causes of acute respiratory failure in the NIV group were atelectasis in 5 patients, pneumonia in 5, acute lung injury in 4, and pulmonary edema in 1, this group included 3 patients with acute respiratory failure after extubation. Overall success rate of NIV was 66.7%. Conclusion: NIV may be an alternative to conventional ventilation in surgical patients with acute respiratory failure. Use of NIV may avoid re-intubation in patients who develop respiratory failure after intubation.

목차 (Table of Contents)

• Purpose
• INTRODUCTION
• METHODS
• RESULTS
• DISCUSSION
• CONFLICTS OF INTEREST
• REFERENCES

참고문헌 (Reference)

1 Lawrence VA, "Risk of pulmonary complications after elective abdominal surgery" 110 : 744-750, 1996

2 Torres A, "Re-intubation increases the risk of nosocomial pneumonia in patients needing mechanical ventilation" 152 : 137-141, 1995

3 Warner DO, "Preventing postoperative pulmonary complications: the role of the anesthesiologist" 92 : 1467-1472, 2000

4 Warner DO, "Preventing postoperative pulmonary complications: the role of the anesthesiologist" 92 : 1467-1472, 2000

5 Pennock BE, "Pressure support ventilation with a simplified ventilatory support system administered with a nasal mask in patients with respiratory failure" 100 : 1371-1376, 1991

6 Antonelli M, "Predictors of failure of Non-invasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study" 27 : 1718-1728, 2001

7 Jaber S, "Postoperative Non-invasive ventilation" 112 : 453-461, 2010

8 Jaber S, "Outcomes of patients with acute respiratory failure after abdominal surgery treated with Non-invasive positive pressure ventilation" 128 : 2688-2695, 2005

9 Feltracco P, "Non-invasive ventilation in postoperative care of lung transplant recipients" 41 : 1339-1344, 2009

10 Antonelli M, "Non-invasive ventilation for treatment of acute respiratory failure in patients undergoing solid organ transplantation: a randomized trial" 283 : 235-241, 2000

11 Mehta S, "Non-invasive ventilation" 163 : 540-577, 2001

12 Conti G, "Non-invasive positive-pressure ventilation with different interfaces in patients with respiratory failure after abdominal surgery: a matched-control study" 52 : 1463-1471, 2007

13 Esteban A, "Non-invasive positive- pressure ventilation for respiratory failure after extubation" 350 : 2452-2460, 2004

14 Ambrosino N, "Non-invasive mechanical ventilation in acute respiratory failure due to chronic obstructive pulmonary disease: correlates for success" 50 : 755-757, 1995

15 Kindgen-Milles D, "Nasal-continuous positive airway pressure reduces pulmonary morbidity and length of hospital stay following thoracoabdominal aortic surgery" 128 : 821-828, 2005

16 Kindgen-Milles D, "Nasal-continuous positive airway pressure reduces pulmonary morbidity and length of hospital stay following thoracoabdominal aortic surgery" 128 : 821-828, 2005

17 Hilbert G, "Gbikpi- Benissan G, Dupon M, et al. Non-invasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure" 344 : 481-487, 2001

18 Wallet F, "Factors associated with Non-invasive ventilation failure in postoperative acute respiratory insufficiency: an observational study" 27 : 270-274, 2010

19 Esteban A, "Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group" 159 : 512-518, 1999

20 Epstein SK, "Effect of failed extubation on the outcome of mechanical ventilation" 112 : 186-192, 1997

21 Ferrer M, "Early Non-invasive ventilation averts extubation failure in patients at risk: a randomized trial" 173 : 164-170, 2006

22 Vassilakopoulos T, "Contribution of pain to inspiratory muscle dysfunction after upper abdominal surgery: a randomized controlled trial" 161 (161): 1372-1375, 2000

23 Squadrone V, "Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial" 293 : 589-595, 2005

24 Räsänen J, "Continuous positive airway pressure by face mask in acute cardiogenic pulmonary edema" 55 : 296-300, 1985

25 Antonelli M, "A multiple-center survey on the use in clinical practice of Non-invasive ventilation as a first-line intervention for acute respiratory distress syndrome" 35 : 18-25, 2007

26 Antonelli M, "A comparison of Non-invasive positive- pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure" 339 : 429-435, 1998