Predictors for the success of noninvasive mechanical ventilation
Keywords:
CONSENSUS, NONINVASIVE VENTILATION, RESPIRATORY FAILURE, LOGISTIC MODEL.Abstract
Introduction: only a few national studies provide a solid understanding of the factors that influence in the success of noninvasive ventilation.
Objective: to identify the success factors in the use of noninvasive ventilation in the critical care units at the “Manuel Ascunce Domenech” hospital, from october 1st,2020 to october 1st, 2021.
Methods: a monocentric, observational, descriptive and correlational study was carried out in the critical care units of the “Manuel Ascunce Domenech” hospital, in the Camagüey province, from october 1st,2020 to october 1st, 2021, based on the general criteria and a work algorithm previously validated in national consensus as part of a doctoral research. The universe was made up of 198 patients and the sample was made up of 176 patients. Statistical methods of association of variables and binary logistic regression were used using the SPSS statistical program.
Results: there was predominance in advanced ages and the male sex. The main causes of respiratory failure were lower respiratory infections and chronic obstructive pulmonary disease. Worsening level of consciousness and leakage were the most commonly seen complications. Predictors of success were identified for noninvasive ventilation, where arterial oxygen pressure greater than 80 mmHg was the best predictor variable.
Conclusions: it was possible to characterize the behavior of noninvasive mechanical ventilation and identified the factors associated with the success of this ventilatory technique.
Downloads
References
1. Alonso Oviedo PA, Cruz AB, Rodríguez AR, Falcón LR. Impacto de la ventilación no invasiva en la unidad de cuidados intensivos. Rev Cub Med Int Emerg [Internet]. 2017 [citado 17/09/2017]; 16(1): 25-32. Disponible en: http://www.medigraphic.com/pdfs/revcubmedinteme/cie-2017/cie171e.pdf.
2. Fernández A, Soler La OA, Rodríguez Pérez I. Ventilación no invasiva en el edema agudo del pulmón. Rev Cub Med Int Emerg [Internet]. Abr-jun. 2018 [citado 17/09/2021]; 17(2): 43-48. Disponible en: https://revmie.sld.cu/index.php/mie/article/view/321/html_1
3. Duke GJ, Bersten AD. Non-invasive ventilation [Internet]. España: Elsevier; 2019 [citado 12/08/2020]. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/3-s2.0-B9780702072215000377.pdf?locale=es_ES&searchIndex=.
4. Díaz Lobato S, Mayoralas Alises S. La ventilación mecánica no invasiva moderna cumple 25 años. Rev Archivos de Bronconeumología [Internet]. 2013 [citado 27/09/2020]; 49(11): 475-479. Disponible en: https://www.archbronconeumol.org/en-la-ventilacion-mecanica-no-invasiva-articulo-S0300289612003298
5. Esquinas A, Jover J, Úbeda A, Belda F, de Ventilación GdTI, Anestesiología MNI. Ventilación mecánica no invasiva en el postoperatorio. Revisión clínica. Rev Esp Anestesiología y Reanimación [Internet]. 2015 [citado 17/09/2020]; 62(9): 512-522. Disponible en: https://www.elsevier.es/es-revista-revista-espanola-anestesiologia-reanimacion-344-sumario-vol-62-num-9-S0034935615X00077
6. Stefan MS, Nathanson BH, Priya A, Pekow PS, Lagu T, Steingrub JS, et al. Hospitals’ Patterns of Use of Noninvasive Ventilation in Patients With Asthma Exacerbation. Chest [Internet]. 2016 [citado 17/09/2020]; 149(3): 729–736. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944771/.
7. Raurell Torredà M, Argilaga Molero E, Colomer Plana M, Ruiz García T, Galvany Ferrer A, González Pujol A. Análisis comparativo de los conocimientos en ventilación mecánica no invasiva de profesionales de cuidados intensivos. Revista de Enfermería Intensiva [Internet]. 2015 [citado 17/09/2020]; 26(2). Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S1130239915000309.pdf?locale=es_ES.
8. Stefan MS, Priya A, Pekow PS, Lagu T, Steingub JS, Hill NS, et al. The comparative effectiveness of noninvasive and invasive ventilation in patients with pneumonia. J. Crit. Care [Internet]. 2018 [citado 20/08/2020]; 43: 190-196. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700851/
9. Ramírez Alfaro Ch, Palma Rodríguez O. Mortalidad de los pacientes sometidos a ventilación mecánica no invasiva. Acta Méd Costarricense [Internet]. 2019 [citado 20/08/2020]; 61(2): 55-61. Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022019000200055
10. Perkins BL, Angriman F, Munshi L, Del Sorbo L, Ferguson ND, Rochwerg B, et al. Association of Noninvasive Oxygenation Strategies with All-Cause Mortality in Adults with Acute Hypoxemic Respiratory Failure: a Systematic Review and Meta-analysis. JAMA [Internet]. 2020 [citado 20/08/2020]; 324(1): 57-67. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/2767025
11. Yeung J, Couper K, Ryan EG, Gates S, Hart N, Perkins GD. Non invasive ventilation as a strategy for weaning from invasive mechanical ventilation: a systematic review and Bayesian meta analysis. Intensive Care Med [Internet]. 2018 [citado 20/08/2020]; 44: 2192-2204. Disponible en: https://link.springer.com/article/10.1007/s00134-018-5434-z
12. Perkins GD, Ji C, Connolly BA, Couper K, Lall R, Baillie JK, et al. Effect of noninvasive respiratory strategies on intubation or mortality among patients with acute hypoxemic respiratory failure and COVID-19: The RECOVERY-RS randomized clinical trial. JAMA [Internet]. 2022 [citado 20/09/2022]; 327: 546-58. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/2788505#:~:text=In%20this%20randomized%20clinical%20trial,or%20mortality%20within%2030%20days
13. Suárez Rivero B, Bestard Pavón LA, Cardosa García D, Rosell Suárez A, Barrero Viera L. Hábito de fumar y comorbilidad en pacientes con enfermedad pulmonar obstructiva crónica. Rev. Cub. Med. Militar [Internet]. 2021 [citado 20/08/2021]; 50(2). Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/984/854
14. Alonso T, Sobradillo P, de Torres JP. Enfermedad pulmonar obstructiva crónica en mujeres: ¿somos diferentes? Rev. Arch. Bronconeumol [Internet]. 2017 [citado 20/08/2020]; 53(4): 222-227. Disponible en: https://www.archbronconeumol.org/es-enfermedad-pulmonar-obstructiva-cronica-mujeres-articulo-S030028961630268X
15. Fernández R, González de Molina FJ, Batlle M, Fernández MM, Hernández S, Villagra A. Soporte ventilatorio no invasivo en pacientes con neumonía por COVID-19: un registro multicéntrico español. Rev. Med. Intensiva [Internet]. 2021 [citado 20/08/2021]; 45(5): 315- 317. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885668/
16. Belenguer Muncharaz A, Hernández Garcés H, López Chicote C, Ribes García S, Ochagavía Barbarín J, Zaragoza Crespo R. Eficacia de la ventilación no invasiva en pacientes ingresados por neumonía por SARS-COV2 en una unidad de cuidados intensivos. Rev. Med. Intensiva [Internet]. 2020 [citado 20/08/2020]; 45(9): e56–e58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7472969/?report=classic/
17. González Castro A, Fajardo Campoverde A, Medina A, Alapont VMI. Ventilación mecánica no invasiva y oxigenoterapia de alto flujo en la pandemia COVID-19: el valor de un empate. Med. Intensiva [Internet]. 2021 [citado 20/08/2021]; 45(5): 320-321. Disponible en: https://www.sciencedirect.com/science/article/pii/S021056912030156X?via%3Dihub
18. Rivero López JC, Carrera González E, Rodríguez Quintero R, Rodríguez Carbonell AL. Ventilación mecánica no invasiva en la insuficiencia respiratoria aguda por leptospirosis. Rev. Med. Intensiva [Internet]. 2019 [citado 20/08/2020]; 18(2). Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/595/html
19. Avdeev SN, Yaroshetskiy AI, Tsareva NA, Merzhoeva ZM, Trushenko NV, Nekludova GV, et al. Noninvasive ventilation for acute hypoxemic respiratory failure in patients with COVID-19. Am. J. Emerg. Med [Internet]. 2021 [citado 20/08/2021]; 39: 154-157. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527350/
20. Navarro Rodríguez Z, Pacheco Quiñones M, Rodríguez Fernández A, Cohello Acosta R, Torres Maceo JM. Factores pronósticos del éxito de la ventilación mecánica no invasiva en la insuficiencia respiratoria aguda. MEDISAN [Internet]. 2014 [citado 17/09/2020]; 18(1): 68-77. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192014000100010&nrm=iso
21. Navarro Rodríguez Z, Torres Maceo M, Romero García LI, Ortiz Zamora C. Factores predictivos de fracaso de la ventilación no invasiva en la enfermedad pulmonar obstructiva exacerbada. Rev Cub Med Int Emerg [Internet]. Oct.-dic. 2017 [citado 17/10/2020]; 16(4): 93-103. Disponible en: https://scholar.google.es/scholar?as_ylo=2016&q=ventilación+no+invasiva&hl=es&as_sdt=0,5#d=gs_qabs&u=%23p%3Dd2F1x84Qp7EJ
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
