Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure
Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particular...
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Instituto Politécnico de Viseu
2025-07-01
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| Online Access: | https://revistas.rcaap.pt/millenium/article/view/38038 |
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| author | Ana Romano Joana Sousa |
| author_facet | Ana Romano Joana Sousa |
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| collection | DOAJ |
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Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask.
Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV.
Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022.
Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01).
Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV.
Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask.
Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV.
Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022.
Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01).
Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV.
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| format | Article |
| id | doaj-art-d7354ef8ac4849178a95ef32519a1e15 |
| institution | DOAJ |
| issn | 0873-3015 1647-662X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Instituto Politécnico de Viseu |
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| series | Millenium |
| spelling | doaj-art-d7354ef8ac4849178a95ef32519a1e152025-08-20T03:15:09ZengInstituto Politécnico de ViseuMillenium0873-30151647-662X2025-07-01218e10.29352/mill0218e.38038Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure Ana Romano0https://orcid.org/0009-0006-6888-0659Joana Sousa1https://orcid.org/0000-0001-5515-0696Unidade Local de Saúde de Castelo Branco, Castelo Branco, PortugalInstituto Politécnico de Leiria, Leiria, Portugal | Center for Innovative Care and Health Technology (ciTechCare), Leiria, Portugal Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask. Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV. Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022. Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01). Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV. Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask. Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV. Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022. Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01). Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV. https://revistas.rcaap.pt/millenium/article/view/38038non-invasive mechanical ventilation; nurse specialist; acute respiratory failure; oro-nasal mask; full face mask |
| spellingShingle | Ana Romano Joana Sousa Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure Millenium non-invasive mechanical ventilation; nurse specialist; acute respiratory failure; oro-nasal mask; full face mask |
| title | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_full | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_fullStr | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_full_unstemmed | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_short | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_sort | mask selection at the beginning of non invasive mechanical ventilation for patients with acute respiratory failure |
| topic | non-invasive mechanical ventilation; nurse specialist; acute respiratory failure; oro-nasal mask; full face mask |
| url | https://revistas.rcaap.pt/millenium/article/view/38038 |
| work_keys_str_mv | AT anaromano maskselectionatthebeginningofnoninvasivemechanicalventilationforpatientswithacuterespiratoryfailure AT joanasousa maskselectionatthebeginningofnoninvasivemechanicalventilationforpatientswithacuterespiratoryfailure |