RT Journal Article
SR Electronic
T1 Noninvasive positive pressure ventilation (NPPV) vs. invasive positive pressure ventilation (IPPV) in patients with caused by pneumonia mild to moderate ARDS
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA2182
DO 10.1183/13993003.congress-2016.PA2182
VO 48
IS suppl 60
A1 Yordanka Yamakova
A1 Rosen Petkov
A1 Yordan Dimitrov
A1 Borislav Velev
A1 Viktoria Ilieva
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA2182.abstract
AB Aim: To estimate the value of NPPV in patients with caused by community acquired pneumonia (CAP) mild to moderate ARDSMethods: We observed 44 patients with caused by CAP mild to moderate ARDS. Patients were separated in two groups. In a prospective NPPV group (01.2015 – 01.2016; n= 22) ventilation started 30 min after admission. Retrospectively (01.2014 – 01.2015) we analyzed 22pts who were intubated (IPPV group). We compared the results of the two groups interms of clinical data, blood gas analysis (at the admission, 1st and 24th hour from the start of ventilation) and mortality.Results: Compare to IPPV, NPPV improved gas exchange, avoided intubation in 20 patients and significantly decreased ICU mortality. Main results we represented in table 1. View this table:TABLE 1 Comparison of variables in two groupsConclusion: NPPV applied as first-line intervention in mild to moderate ARDS decrease intubation rate and mortality. The ability to improve PaO2/FIO2 after 1 hr of NPPV was predictor of success independently of SAPS II score.