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- W3030634500 abstract "ObjectiveTo investigate the clinical efficacy and tolerability of noninvasive ventilation (NIV) with helmet on patients suffering acute respiratory failure (ARF).MethodsFifteen ARF patients who met the inclusion criteria were recruited from Emergency Intensive Care Unit of the First Affiliated Hospital of Zhengzhou University from December 2017 to April 2018. Besides conventional drug therapy, NIV pressure support mode was performed with helmet, which was connected with the ventilator through a common breathing tubes. Blood gas exchange, oxygenation index, respiratory rate and heart rate were compared and analyzed before and after treatment by Paired t-test. Tolerance scores at different points were recorded and analyzed.ResultsAmong the 14 patients who met the inclusion criteria, all of them were successfully studied. At 4 hours after the NIV treatment and at the end, the oxygenation index increased from (190.8±76.7) mmHg (1 mmHg=0.133 kPa) to (227.8±75.2) mmHg and (247.4±47.2) mmHg, and respiratory rate decreased from (28.7±9.1) times/min to (18.7±5.9) times/min and (17.7±5.2) times/min, and the difference was statistically significant (P<0.05). The heart rate was decreased from (103.7±23.0) times/min to (96.0±23.0) times/min at 1 hour after NIV treatment (P<0.05). The tolerance rate of patients to helmet NIV was 13/14, moreover, ten patients were completely tolerant during the treatment. Twelve patients were successfully weaned and started nasal catheters after NIV.ConclusionsThe application of helmet NIV in the treatment of ARF patients not only can significantly improve blood gas exchange, relieve dyspnea and lower heart rate, but also has good tolerance and less complications.Key words: Helmet; Noninvasive ventilation; Acute respiratory failure" @default.
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- W3030634500 date "2019-01-10" @default.
- W3030634500 modified "2023-10-11" @default.
- W3030634500 title "Application of noninvasive ventilation with helmet in patients with acute respiratory failure: a clinical application research" @default.
- W3030634500 doi "https://doi.org/10.3760/cma.j.issn.1674-4756.2019.01.001" @default.
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