Source: Annual Congress 2004 - Lung function technology: beyond the basic test
Disease area: Respiratory critical care

Abstract

Non-invasive ventilation is very important in the treatment of acute and chronic respiratory failure and in the respiratory health control.
We examined 56 patients with hypoventilation caused by obstructive pulmonary disease and restrictive thoracic diseases. They were admitted for acute respiratory failure with breathing frequency, hypercapnia (PaCO2>6,0 kPa), hypoxemia and decreased pH<7,35. We follow the effects of non-invasive ventilation via standard nose or facemask. The patients were composed of 40 patients with obstructive pulmonary disease (FEV1=31,5%+-8,0) VC=36,5%+-11,0) and 16 patients with restrictive thoracic diseases (FEV1=30,5%+-6,0; VC=26,6%+-12,0). Blood gasses were recorded after 2 hours, 1 day, 4 days and 7 days. All patients were receiving oxygen therapy (together with standard treatment for the respiratory disease). We have observed that after 2 hours PaO2 and pH were increased (p<0,001), after 4 days PaCO2 decreased (p<0,001). We compared our results with the results of patients without ventilatory support in their home treatment (4 day and 7 day).
We have concluded that the support of non-invasive ventilation is important for the patients with respiratory failure and it could help in the recovery of their condition.

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Citations should be made in the following way:
Z. M. Goseva, D. V. Dokic, M. Boskovska, Z. S. Arsovski, S. S. Gruevska (Skopje, Macedonia). Non-invasive ventilatory support in the treatment of acute and chronic respiratory failure. Eur Respir J 2004; 24: Suppl. 48, 2489

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