Results of application non-invasive mechanical ventilation in acute respiratory failure patients in pediatric intensive care unit

Abstract

Background & Aim:  non invasive ventilation is a method to support ventilate in patients with using facel or nasal mask without tracheal intubation.non invasive ventilation is the best used in acute respiratory failure that cuased by acute asthma attacks and broncholities and pneumonia.it is also useful after extubation as support methods until patients stabilized.

This study aim to Results of application non-invasive mechanical ventilation in acute respiratory failure patients in  pediatric intensive care unit .Materials & Methods: cohort observed prospect study, we controlled patients who used non invasive ventilation from onset of ventilation to complete it . we collect data about (sex, age, respiratory rate, blood gases, and ventilation level in ( 0,2,4,6,12,24,48)hours, and comparison between two groups which successful and failed.

Finding: the study included 32 patients (59% male ,41% female), 12 cases were less than one year old , and 20 cases were more than one years old. Cases were  divided as ( 10 bronchiolitis , 5 asthma , 16   , 1 pulmonary edema ). Cases were succeed 25 cases( 10 cases were bronchiolitis , 5 cases were asthma , 10 cases were bronchopneumonia and failed 7 cases  ( 7 cases were bronchopneumonia and one case was pulmonary edema). We found a remarkable improvement in respiratory rate , heart rate and blood gases after six hours of applying .     

Conclusion: the importance of non invasive ventilation in treatment of acute respiratory failure especially in asthma and bronchiolitis patients with reduce invasive  ventilation and complication that caused from it ..