The utility of noninvasive nasal positive pressure ventilators for optimizing oxygenation during rapid sequence intubation - 25/07/16
Abstract |
Objectives |
The objective of the study is to investigate the feasibility of noninvasive nasal positive pressure ventilation (NINPPV) for optimizing oxygenation during the rapid sequence intubation in critically ill patients.
Methods |
A prospective, observational study was performed in an emergency department. Noninvasive nasal positive pressure ventilation was applied in the preoxygenation step and maintained until successful intubation. A pulse oximetry (Spo2) was continuously monitored throughout the procedure and recorded 5 times. The degree of interfering was surveyed with 10-point Likert scale.
Results |
Thirty patients were enrolled. The most of enrolled patients were diagnosed as pneumonia, acute heart failure, and traumatic brain injury. The Spo2 was increased to 100% (98%-100%) at the time of starting endotracheal intubation with NINPPV and maintained as 97% (95%-100%) until successful intubation (P< .001). Total apnea duration was 195 seconds (190-196). The degree of interfering intubation was 1 (0-1).
Conclusions |
Noninvasive nasal positive pressure ventilation would be useful for optimizing oxygenation during rapid sequence intubation.
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Vol 34 - N° 8
P. 1627-1630 - août 2016 Retour au numéro
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