The Science Journal of the American Association for Respiratory Care

2009 OPEN FORUM Abstracts

NON-INVASIVE POSITIVE PRESSURE VENTILATION OUTCOMES OVER A

Kenneth J. Miller; Respiratory care, LVHN, Allentown, PA

Introduction: Prevention of intubation and the institution of mechanical ventilation during acute respiratory failure is a threshold that today clinicians strive for. This is especially a major objective for patients with an acute process that can be reserved quickly after appropriate interventions or those patients with chronic respiratory decompensation where the initiation of mechanical ventilation can be associated with many problems. Objective: To retrospectively review patients placed on Non-Invasive Positive Pressure Ventilation (NIPPV) with the diagnosis of either Congestive Heart Failure (CHF) or Chronic Obstructive Pulmonary Disease (COPD) over a one year-time frame. Methods: NIPPV was initiated and maintain with the Respironics Vision (Carlsbad, California). Patients diagnosed with either CHF or COPD were placed on NIPPV and then followed to see if the patient required intubation and mechanical ventilation or stabilized and placed on supplemental oxygen administration over a one-year time span.. Results: Thirty-five patients were diagnosed with CHF and thirty-three were diagnosed with COPD. Twenty-nine patients (80%) with CHF were stabilized and placed on supplemental oxygen therapy post NIPPV. Twenty-three patients (71%) diagnosed with COPD were stabilized on NIPPV and placed on supplemental oxygen therapy. Patient demographics were similar in all cases and total duration of NIPPV utilization was .85 day in the CHF patients that were stabilized on NIPPV and 1.45 days in those patients stabilized with the diagnosis of COPD. Conclusion: In our respective review to better get a perspective of our internal NIPPV practice; our results demonstrate that NIPPV utilization in the CHF and COPD patient populations can result in clinical stabilized and the reduction of the institution of mechanical ventilation. Sponsored Research - None

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