TY - JOUR T1 - Usefullness of noninvasive ventilation in patients with acute respiratory failure admitted in the intensive care unit (ICU) - Experience of a Portuguese ICU JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P2009 AU - Ana Castro AU - Pedro Moura AU - Aurora Cadeco Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P2009.abstract N2 - Introduction:Noninvasive ventilation(NIV) is a safe and effective mean of improving gas exchange in patients with many types of acute respiratory failure(ARF).Study Design and Patient Selection:Retrospective observational study to access the usefulness of NIV in patients with ARF submitted to mechanical invasive ventilation(MIV) admitted to the ICU(Santa Luzia Hospital Viana do Castelo,Portugal).We enrolled adults with ARF admitted to the ICU in 2011.Patients were analyzed globally and in two subgroups: patients that received MIV and NIV and patients that received only MIV,recording various parameters, namely,comorbidities,diagnosis,SAPS II,APACHE II,presence of hypercapnia,pH, pCO2,MIV duration,number of days in the UCI and release condition.The two groups were compared by the Chi-square and Mann-Whitney tests.Results:104 patients were included, mainly admitted for pneumonia(52%),other causes of ARF(23%) and COPD exhacerbation/hypercapnic acidemia (HA)(13%). 22(21%)received MIV and NIV and92(79%) only MIV.When analized the differences between groups,was found statistical significant differences regarding the diagnosis(p=,002),presence of hypercapnia(p=,005),MIV time(p=,015) and number days in the ICU(p<,001),but no differences when compared comorbidities,SAPS II,APACHE II,nutricional status,social dependence or release condition.NIV was used in patients with HA(36%) and difficult weaning(63%).Conclusion:NIV was effective in reducing the MIV time and number of days in the ICU probably because,in selected patients,it reduces the risk of ventilator-associated pneumonia,however no significant difference in mortality was observed. ER -