| Noninvasive Positive Pressure Ventilation in burns. | |
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MedLine Citation:
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PMID: 12464481 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Acute respiratory failure is a common complication of the severely burn-injured patient. Endotracheal intubation and mechanical ventilation is associated with a high rate of complications. Noninvasive Positive Pressure Ventilation (NIPPV) has been shown to be as effective as conventional ventilation in improving gas exchange and is associated with fewer complications with patients in acute hypercapnic and hypoxaemic respiratory failure. We report our experience with NIPPV in 30 burn patients. METHOD: The records of all burn patients from 1998 to 2000, where NIPPV was used as part of their management at the St. Andrew's Centre for Plastic Surgery and Burns, were reviewed. RESULTS: Mean age was 47.56 years (range 12-81). Nine patients were female. Mean burn size was 24.4% total body surface area (TBSA) (range 3-54). Inhalation injury was confirmed in eight cases. A positive diagnosis of pneumonia was made in 29 patients. The mean PaO(2)/FiO(2) ratio prior to institution of NIPPV was 28.98Kpa (range 8.75-52). Intermittent Positive Pressure Breathing (IPPB) was the most common ventilatory mode employed (25 patients) and the face mask was the most used interface (18 cases). Twenty-two patients (74%) avoided endotracheal intubation and their respiratory function continued to improve after NIPPV was discontinued. One patient (3%) died and seven patients (23%) were reintubated. Three out of the seven were electively reintubated for burns surgery. CONCLUSION: In burn-injured patients with acute respiratory failure, NIPPV appears to be effective in supporting respiratory function such that endotracheal intubation can be avoided in most cases. |
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Authors:
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S T Smailes |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Burns : journal of the International Society for Burn Injuries Volume: 28 ISSN: 0305-4179 ISO Abbreviation: Burns Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-12-04 Completed Date: 2003-02-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8913178 Medline TA: Burns Country: England |
Other Details:
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Languages: eng Pagination: 795-801 Citation Subset: IM |
Affiliation:
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St. Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Broomfield, CM1 7ET, Chelmsford, UK |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Adult Aged Aged, 80 and over Burns / complications*, therapy Burns, Inhalation / therapy Child Female Humans Male Middle Aged Pneumonia / etiology, therapy Positive-Pressure Respiration* Respiratory Insufficiency / etiology*, therapy* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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