Noninvasive positive pressure ventilation in early acute respiratory distress syndrome
- VernacularTitle:无创正压通气治疗早期急性呼吸窘迫综合征
- Author:
Rongchang ZHI
;
Minyan XIE
;
Jintian ZHOU
- Publication Type:Journal Article
- Keywords:
Acute respiratory distress syndrome;
Noninvasive positive pressure ventilation
- From:
Chinese Journal of Respiratory and Critical Care Medicine
2003;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of noninvasive positive pressure ventilation (NIPPV) in the treatment of early acute respiratory distress syndrome(ARDS) Methods 12 patients with early ARDS were errolled in the study All the patients pulltiled the criteria of ARDS and no improvement after high flow oxygen therapy via mask NIPPV was used because the patients and their family refused intubation Pressure support ventilation (PSV) and positive end expiratory pressure (PEEP) were used via facial mask with Vison or BiPAP ventilator PEEP were set at 8～12 cm H 2 O with 4～6 PSV level Results The baseline respiratory frequency(RR)was (36?4)bpm,PaO 2 was (55?9)mm Hg and oxygen index (OI)was (127?4)mm Hg At final,8 patients survived (S group) and 4 patients died (F group) After 4～6 h treatment with NIPPV,in S group,RR decreased to (32?1 2)bpm ( P
