Abstract
Background: The respiratory therapist (RT) participates in the educational programs for adaptation to Non Invasive Mechanical Ventilation (NIMV).
Aim: The Diaphragm Sonography (DS) can be a new tool to reinforce the classic methods of educational support in the NIMV adaptation in those patients who dont’ accept it.
Method: We have studied 25 patient (15 mens and 10 female). The ultrasound machine used was a Logic V5 with Convex probe of 1-5 MgHz. The DS was performed with the patient supine.The position of the probe was below the right costal arch. First we recorded the diaphragm excursion in normal and deep breath to show the patient the low movement of his muscle. The next step was the use of NIMV. With the monitor facing the patient we tried several Ipap pressures explaining and showing what was happening to his diaphragm during the ventilation. The more the Support Pressure was increased the more the muscle was put to rest.
Results: The direct vision of what happens to the muscles has allowed patients to overcome the fear of the mask and to accept to start the treatment. At discharge all the patients were able to hold the NIMV mask all night long and for different periods of the day.
Conclusion: For the RT the DS can represent a useful, fast, easy to learn method at the patient's bedside to reinforce an educational program during the adaptation to NIMV in poorly compliant patients.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 2788.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020