Respiratory Therapy in Patients with Acute Lung Injury and Concomitant Pneumothorax

Objective. To comparatively study the efficiency of respiratory support using biphasic positive airway pressure (BIPAP), spontaneous intermittent mandatory ventilation (SIMV), and intermittent positive pressure ventilation (IPPV) in patients with acute lung injury (ALI) and concomitant pneumothorax....

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Main Authors: Yu. V. Marchenkov, O. A. Morozova, D. A. Ostapchenko
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2007-06-01
Series:Общая реаниматология
Online Access:https://www.reanimatology.com/rmt/article/view/1010
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author Yu. V. Marchenkov
O. A. Morozova
D. A. Ostapchenko
author_facet Yu. V. Marchenkov
O. A. Morozova
D. A. Ostapchenko
author_sort Yu. V. Marchenkov
collection DOAJ
description Objective. To comparatively study the efficiency of respiratory support using biphasic positive airway pressure (BIPAP), spontaneous intermittent mandatory ventilation (SIMV), and intermittent positive pressure ventilation (IPPV) in patients with acute lung injury (ALI) and concomitant pneumothorax. Subjects and materials. Sixty-eight patients were examined. The severity of disease was 18 to 24 APACHE II scores. After elimination of pneumothorax, lung opening maneuver was made by the routine procedure 1—2 times daily on different types of respiratory support. Results. The study has indicated that in patients with ALI and concomitant pneumothorax, BIPAP reduces the time of pleural cavity drainage, which allows the lung opening maneuver to be earlier used. Conclusion. BIPAP leads to a better adaptation of a patient to respiratory support, to the limited use of sedatives, and to better gas exchange in the lung and accelerates transfer from total respiratory support to spontaneous breathing. Key words: acute lung injury, pneumothorax, BIPAP, lung opening maneuver.
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institution Kabale University
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publishDate 2007-06-01
publisher Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
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series Общая реаниматология
spelling doaj-art-e342952e5cd94326848ad5a76a004b372025-08-20T03:43:41ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102007-06-013310.15360/1813-9779-2007-3-71010Respiratory Therapy in Patients with Acute Lung Injury and Concomitant PneumothoraxYu. V. MarchenkovO. A. MorozovaD. A. OstapchenkoObjective. To comparatively study the efficiency of respiratory support using biphasic positive airway pressure (BIPAP), spontaneous intermittent mandatory ventilation (SIMV), and intermittent positive pressure ventilation (IPPV) in patients with acute lung injury (ALI) and concomitant pneumothorax. Subjects and materials. Sixty-eight patients were examined. The severity of disease was 18 to 24 APACHE II scores. After elimination of pneumothorax, lung opening maneuver was made by the routine procedure 1—2 times daily on different types of respiratory support. Results. The study has indicated that in patients with ALI and concomitant pneumothorax, BIPAP reduces the time of pleural cavity drainage, which allows the lung opening maneuver to be earlier used. Conclusion. BIPAP leads to a better adaptation of a patient to respiratory support, to the limited use of sedatives, and to better gas exchange in the lung and accelerates transfer from total respiratory support to spontaneous breathing. Key words: acute lung injury, pneumothorax, BIPAP, lung opening maneuver.https://www.reanimatology.com/rmt/article/view/1010
spellingShingle Yu. V. Marchenkov
O. A. Morozova
D. A. Ostapchenko
Respiratory Therapy in Patients with Acute Lung Injury and Concomitant Pneumothorax
Общая реаниматология
title Respiratory Therapy in Patients with Acute Lung Injury and Concomitant Pneumothorax
title_full Respiratory Therapy in Patients with Acute Lung Injury and Concomitant Pneumothorax
title_fullStr Respiratory Therapy in Patients with Acute Lung Injury and Concomitant Pneumothorax
title_full_unstemmed Respiratory Therapy in Patients with Acute Lung Injury and Concomitant Pneumothorax
title_short Respiratory Therapy in Patients with Acute Lung Injury and Concomitant Pneumothorax
title_sort respiratory therapy in patients with acute lung injury and concomitant pneumothorax
url https://www.reanimatology.com/rmt/article/view/1010
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AT daostapchenko respiratorytherapyinpatientswithacutelunginjuryandconcomitantpneumothorax