Abstract
Aim: The purpose of this study was to evaluate whether the use of non-invasive ventilation (NIV) associated with conventional respiratory care (CRC) is effective in preventing respiratory complications in patients undergoing chest wall resections.
Patients and Methods: We observed 33 patients who underwent chest wall resection and reconstruction between 2012 and 2014. All patients with more than three rib resections were included. Patients were divided into two groups: NIV+CRC group (n=11) and CRC group (n=22). After operation patients in NIV+CRC group were on NIV (S mode): EPAP=4±1.5, IPAP= 10±4 and FiO2=0.4±0.2 continuous 24 hours. After that intermittent NIV was performed for 2±2days, 12±3 hours per day. Patients in CRC group were undergone into conventional respiratory care (oxygen therapy, medication, chest physiotherapy, early mobilization).Complications (hypoventilation, pneumonia, respiratory failure) were considered as perioperative if they occurred within 30 days of surgery.
Results: Patients receiving NIV displayed significant improvements in PaO2 and PaCO2 12 hours after operation compared to CRC group (PaO2 92.5 vs 70.7, PaCO2 33.2 vs 39.9) The most frequent types of complications in two groups are listed in table 1. The complication rate in NIV+CRC group (0/11) was significantly lower than in CRC group (7/22)(p<0.05).
Conclusion: NIV with CRC was a safe and effective method in reducing postoperative complications and in improving patients recovery.
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