RT Journal Article
SR Electronic
T1 Noninvasive positive pressure ventilation in burn patients
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p2068
VO 38
IS Suppl 55
A1 Jihene Haddad
A1 Imen Rahmani
A1 Haikel Oueslati
A1 Meriem Bouaouaja
A1 Lazhari Gharsallah
A1 Bahija Gasri
A1 Imen Jami
A1 Amel Mokline
A1 Amen Allah Messadi
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p2068.abstract
AB Introduction: Acute respiratory failure is a common complication of severely burn-injured patient. Noninvasive Positive Pressure Ventilation (NIPPV) has been used with success in hypercapnic and hypoxaemic acute respiratory failure. However, the outcome of NIPPV with burn patients is less well documented.Objective: The purpose of this study is to report our experience with NIPPV in a series of burn-injured patients.Method: The records of all burn patients from July 2008- January 2010, in whom NIPPV was used at the Intensive Burn Care Unit, were reviewed.The criteria for selecting patients for NIPPV included a combination of the following factors; patients with acute respiratory failure, haemodynamically stable, conscious and cooperative with their treatment. There had to be no need for endotracheal intubation.Results: Thirty five patients were treated with NIPPV. twenty were female. Mean age was 49.8 years, mean total body surface area (TBSA) was 37.63%. NIPPV was used to treat hypoxia in 24 patients, hypercapnia in 4 patients and both of them in 7 patients.NIPPV was used to treat acute lung injury in 15 patients, pneumonia in 9 patients, atelectasis in 6 and cardiogenic oedema in 5 patients. Mean PaO2/FiO2 ratio before NIPPV was 177 and after NIPPV was 304. Intubation was successfully avoided in 16 out of the 35 (45.7%) patients. All of these patients progressed to self-ventilation status following NIPPV.Conclusion: The use of NIPPV with burn-injured patients is, as yet, unclear because of little work has been documented. In our experience, the use of NIPPV can lead to avoid the need for endotracheal intubation and mechanical ventilation.