Non-invasive Respiratory Support in Blunt Chest Injury
Objective. To optimize the results of treatment in patients with acute respiratory failure (ARF) due to lung contusion, by using the methods of non-invasive mask respiratory support. Materials and methods. The study covered 31 patients with severe blunt chest injury, multiple costal fractures, and h...
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2006-02-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/1192 |
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| author | T. V. Lobus Yu. V. Marchenkov V. V. Moroz |
| author_facet | T. V. Lobus Yu. V. Marchenkov V. V. Moroz |
| author_sort | T. V. Lobus |
| collection | DOAJ |
| description | Objective. To optimize the results of treatment in patients with acute respiratory failure (ARF) due to lung contusion, by using the methods of non-invasive mask respiratory support. Materials and methods. The study covered 31 patients with severe blunt chest injury, multiple costal fractures, and hypoxemic ARF. The patients underwent assisted ventilation (AV) in the CPAP+PSV mode through a facial or nasal mask. Physiological parameters were recorded during non-invasive mask ventilation (NIMV) in the stepwise fashion. A control group comprised 25 patients with the similar severity of injury and ARF who were given conventional AV.Results. In 67.7% of the study group patients, NIMV was effective in improving oxygenation and external respiration, without exerting negative hemodynamic effects. Endotracheal intubation and AV could be avoided in these patients. Comparison of the study and control groups revealed a significant reduction in the incidence of secondary pneumonias in the NIMV group and in the duration of treatment. Mask ventilation could decrease mortality from 44% in the control group to 9.7% in the NIMV group.Conclusion. NIMV applied to patients with hypoxemic ARF in the presence of lung contusion improves pulmonary function and, in the bulk of patients, allows endotracheal intubation and AV and consequently their associated complications. When mask ventilation is employed, management of patients becomes shorter and simpler and mortality rates substantially decrease. |
| format | Article |
| id | doaj-art-796d7b020de14fc4a4a4bbc1ed5c653b |
| institution | Kabale University |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2006-02-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-796d7b020de14fc4a4a4bbc1ed5c653b2025-08-20T03:59:40ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102006-02-0121162210.15360/1813-9779-2006-1-16-221192Non-invasive Respiratory Support in Blunt Chest InjuryT. V. Lobus0Yu. V. Marchenkov1V. V. Moroz2Research Institute of General Reanimatology, Russian Academy of Medical Sciences; S. P. Botkin City Clinical Hospital, MoscowResearch Institute of General Reanimatology, Russian Academy of Medical Sciences; S. P. Botkin City Clinical Hospital, MoscowResearch Institute of General Reanimatology, Russian Academy of Medical Sciences; S. P. Botkin City Clinical Hospital, MoscowObjective. To optimize the results of treatment in patients with acute respiratory failure (ARF) due to lung contusion, by using the methods of non-invasive mask respiratory support. Materials and methods. The study covered 31 patients with severe blunt chest injury, multiple costal fractures, and hypoxemic ARF. The patients underwent assisted ventilation (AV) in the CPAP+PSV mode through a facial or nasal mask. Physiological parameters were recorded during non-invasive mask ventilation (NIMV) in the stepwise fashion. A control group comprised 25 patients with the similar severity of injury and ARF who were given conventional AV.Results. In 67.7% of the study group patients, NIMV was effective in improving oxygenation and external respiration, without exerting negative hemodynamic effects. Endotracheal intubation and AV could be avoided in these patients. Comparison of the study and control groups revealed a significant reduction in the incidence of secondary pneumonias in the NIMV group and in the duration of treatment. Mask ventilation could decrease mortality from 44% in the control group to 9.7% in the NIMV group.Conclusion. NIMV applied to patients with hypoxemic ARF in the presence of lung contusion improves pulmonary function and, in the bulk of patients, allows endotracheal intubation and AV and consequently their associated complications. When mask ventilation is employed, management of patients becomes shorter and simpler and mortality rates substantially decrease.https://www.reanimatology.com/rmt/article/view/1192non-invasive mask ventilationrespiratory supportblunt chest injurylung contusionacute respiratory failurehypoxemia |
| spellingShingle | T. V. Lobus Yu. V. Marchenkov V. V. Moroz Non-invasive Respiratory Support in Blunt Chest Injury Общая реаниматология non-invasive mask ventilation respiratory support blunt chest injury lung contusion acute respiratory failure hypoxemia |
| title | Non-invasive Respiratory Support in Blunt Chest Injury |
| title_full | Non-invasive Respiratory Support in Blunt Chest Injury |
| title_fullStr | Non-invasive Respiratory Support in Blunt Chest Injury |
| title_full_unstemmed | Non-invasive Respiratory Support in Blunt Chest Injury |
| title_short | Non-invasive Respiratory Support in Blunt Chest Injury |
| title_sort | non invasive respiratory support in blunt chest injury |
| topic | non-invasive mask ventilation respiratory support blunt chest injury lung contusion acute respiratory failure hypoxemia |
| url | https://www.reanimatology.com/rmt/article/view/1192 |
| work_keys_str_mv | AT tvlobus noninvasiverespiratorysupportinbluntchestinjury AT yuvmarchenkov noninvasiverespiratorysupportinbluntchestinjury AT vvmoroz noninvasiverespiratorysupportinbluntchestinjury |