1999 OPEN FORUM Abstracts

TREATMENT OF 38 PATIENTS WITH TYPE II RESPIRATORY FAILURE BY MECHANICAL VENTILATION

Xia Xirong & Shi Yi. Jinling Hospital, Respiratory Department, Nanjing, Jiangsu Province P. R. China.

BACKGROUND: This paper reported clinical experience of 38 patients (45 times) type II respiratory failure whom we treated with mechanical ventilation (MV) between 1983 to 1998. Coma and severe carbon dioxide retention were the main indications.

METHOD: The artificial airway types includes tracheostomy (15), through oral intubation (8) through fiber bronchoscopy intubation (6) and intubation plus tracheostomy (16). The duration of intubation was 13.12°± 4.31 (7-21days). We used Servo 900c respirators (Siemens) to treat this group of patients. Intermittent mechanical ventilation (IMV) and pressure support ventilation (PSV) were advantages for weaning from the respirator. No patient in this group became dependent on the respirator.

Results: The main complications of MV included hypotension (48.89%), arrhythmia (20.3%), gastrointestinal haemorrhage (7.8%), and thoracic barotrauma (5.5%). The rate of success of this therapy was 71.11% (25 cases). The survival time for one year was 67.1%; 5-year survival was 23.51%, with only two patients surviving more than 10 years.

CONCLUSION: MV is an effective method for treating Type II respiratory failure.

OF-99-240