التفاصيل البيبلوغرافية
| العنوان: |
[Comparison of non-invasive mechanical ventilation with helmet or face mask in patients with acute exacerbation of chronic obstructive pulmonary disease]. |
| عنوان ترانسليتريتد: |
Kronik obstrüktif akciğer hastalığının akut alevlenmesinde uygulanan noninvaziv mekanik ventilasyonda helmet ile yüz maskesinin karşılaştırılması |
| المؤلفون: |
Ali A; Department of Anaesthesiology and Reanimation, Okmeydani Training and Research Hospital, Istanbul, Turkey. a_achmet@hotmail.com, Türkmen A, Turgut N, Altan A, Sari T |
| المصدر: |
Tuberkuloz ve toraks [Tuberk Toraks] 2011; Vol. 59 (2), pp. 146-52. |
| نوع المنشور: |
Comparative Study; English Abstract; Journal Article |
| اللغة: |
Turkish |
| بيانات الدورية: |
Publisher: İstiklâl Matbaacılık ve Gazetecilik Koll. Ort Country of Publication: Turkey NLM ID: 0417364 Publication Model: Print Cited Medium: Internet ISSN: 0494-1373 (Print) Linking ISSN: 04941373 NLM ISO Abbreviation: Tuberk Toraks Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Ankara : İstiklâl Matbaacılık ve Gazetecilik Koll. Ort., [1953]- |
| مواضيع طبية MeSH: |
Carbon Dioxide/*blood , Pulmonary Disease, Chronic Obstructive/*therapy , Respiration, Artificial/*instrumentation , Respiration, Artificial/*methods, Acute Disease ; Blood Gas Analysis ; Female ; Humans ; Intensive Care Units ; Length of Stay ; Male ; Masks ; Middle Aged ; Patient Compliance ; Pulmonary Disease, Chronic Obstructive/blood ; Respiratory Function Tests ; Treatment Outcome |
| مستخلص: |
Exacerbation of chronic obstructive pulmonary disease (COPD) is one of the frequent causes of acute respiratory failure. In our study, we aimed to compare helmet with face mask in noninvasive mechanical ventilation (NIMV) on patients who had acute respiratory failure because of exacerbation of COPD in intensive care unit (ICU). Thirty patients, taken into ICU for exacerbation of COPD, were included in the study. Patients were divided into two groups as face mask group (Group Y) and helmet group (Group H). Appropriate mechanical ventilation settings were recorded after the starting period and NIMV was applied to patients continuously for two hours with these settings. Respiratory frequency (f), blood gas (PaO(2), PaCO(2), PH) and PaO(2)/FiO(2) values and hemodynamic data of all patients were recorded periodically. Compliance of patients were evaluated with patient tolerance scale (PTS). Duration of stay of the patients in ICU and complications were also noted. Demographic characteristics of patients, mechanical ventilator settings and hemodynamic data of the patients in the two groups were found to be similar (p>0.05). Frequency values measured during NIMV are also similar at all measurement times (p>0.05). It was determined that there was a remarkable decrease in respiratory frequency, in both groups after the application of NIMV (p< 0.001). There was no difference with respect to PaO(2), PH and PaO(2)/FiO(2) values at all measurement times, between groups (p> 0.05). PaCO(2) values in the beginning were similar in both groups but PaCO(2) measured at other measurement times for group H were statistically higher compared to the other group (p< 0.05). PTC score measured at during NIMV in group H were remarkably higher (p< 0.05). Helmet developed as an alternative to face mask has a better patient tolerance and accordingly in increases success rate in NIMV. But it must be keeping mind that the decrease in PaCO(2) value is slow with helmet. |
| المشرفين على المادة: |
142M471B3J (Carbon Dioxide) |
| تواريخ الأحداث: |
Date Created: 20110712 Date Completed: 20120213 Latest Revision: 20191112 |
| رمز التحديث: |
20221213 |
| DOI: |
10.5578/tt.738 |
| PMID: |
21740389 |
| قاعدة البيانات: |
MEDLINE |
