Evolution of acute chronic obstructive pulmonary disease treated with non-invasive ventilation

Zadis Navarro Rodríguez, Lázaro Ibrahim Romero Garcia, Niger Guzman Perez, Franklin Brito Laserra

Resumen

Introduction: Non-invasive ventilation is a new modality of respiratory support therapy in patients with acute chronic obstructive pulmonary disease.

Objective: To describe the factors related to failure of non-invasive ventilation treatment in the population of patients with exacerbated chronic obstructive pulmonary disease.

Methods: An observational, descriptive and cross-sectional study was carried out in the intensive care units of Saturnino Lora Hospital, between January, 2011 and January, 2019.

Results: The presence of leaks, the start time of the treatment longer than 24 hours, the decrease in the average values of pH and Glasgow, the increase in respiratory and heart rates and PaCO2, are associated with failure of non-invasive ventilation.

Conclusions: Alterations of typical clinical and hemogasometric variables of ventilation, structure the failure in this patients population.

Palabras clave

noninvasive ventilation; chronic obstructive pulmonary disease; acute respiratory failure.

Referencias

Brochard L, Mancebo J, Wysocki M, Lofaso F, Conti G, Rauss A, et. al. Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med. 1995 [acces: 31/07/2019]; 333(3):817-22. Available in: https://www.ncbi.nlm.nih.gov/pubmed/7651472

Jacob J, Arranz M, Sancho Ramoneda M, López A, Navarro Sáez MC, Cousiño Chao JR, et al. Estudio de cohortes de pacientes trata¬dos con ventilación no invasiva en servicios de urgencias prehospi¬talarios y hospitalarios de Cataluña: registro VNICat. Emergencias. 2017 [acces: 30/12/2019];29(1):33-8. Available in: https://dialnet.unirioja.es/servlet/articulo?codigo=5826655

Skoczyński S, Rzepka-Wrona P, Esquinas AM, Pierzchała W, Barczyk A. Influence of noninvasive ventilation on clinical status, dyspnea sensation and subsequent copd diagnosis. Wiadomości lekarskie (Warsaw, Poland: 1960). 2019 [acces: 30/12/2019]; 71(82):1632-35. Available in: https://www.researchgate.net/publication/330675753_Influence_of_noninvasive_ventilation_on_clinical_status_dyspnea_sensation_and_subsequent_copd_diagnosis

Suárez Domínguez R, Navarro Rodríguez Z, Lozada Mendoza Y. Caracterización de la ventilación no invasiva en pacientes con enfermedad pulmonar obstructiva crónica agudizada. MEDISAN. 2015 [acces: 30/11/2019];19(9). Available in: http://medisan.sld.cu/index.php/san/article/view/431/html_135

Cao Z, Luo Z, Hou A, Nie Q, Xie B, An X, et al. Volume-targeted versus pressure-limited noninvasive ventilation in subjects with acute hypercapnic respiratory failure: a multicenter randomized controlled trial. Respir Care. 2016;61(11):1440–50.

Meduri GU, Abou-Shala N, Fox RC, Jones CB, Leeper KV, Wunderjnk RG. Noninvasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest. 1991 [acces: 10/11/2019]; 100(2):445-54. Available in: https://www.ncbi.nlm.nih.gov/pubmed/1864119

Alonso Oviedo P, Brito Cruz A, Retamero Rodríguez A, Rosales Falcón L. Impacto de la ventilación no invasiva en la unidad de cuidados intensivos. Rev Cub Med Int Emerg. 2017 [acces: 10/11/2019]; 16(1): 25-32. Available in: http://www.revmie.sld.cu/index.php/mie/article/view/190/html_77

Confalonieri M, Garuti G, Cattaruzza MS, Osborn JF, Antonelli M, Conti G, et al. A chart of failure risk for noninvasive ventilation in patients with COPD exacerbation. Eur Respir J. 2005 [acces: 13/01/2020]; 25(2):348-55. Available in: https://www.ncbi.nlm.nih.gov/pubmed/15684302

Moretti M, Cilione C, Tampieri A, Fracchia C, Marchioni A, Nava S. Incidence and causes of non-invasive mechanical ventilation failure after initial success. Thorax. 2000 [acces: 25/01/2020]; 55(10):819–825. Available in: https://www.ncbi.nlm.nih.gov/pubmed/10992532

Antonelli M, Conti G. Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients. Crit Care. 2000 [acces: 25/01/2020]; 4(1):15-22. Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC137248/

Torres Maceo JM, Ortiz Zamora C, Navarro Rodríguez Z. Ventilación mecánica no invasiva en pacientes con enfermedad pulmonar obstructiva crónica agudizada. MEDISAN. 2015 [acces: 13/01/2020]; 19(10). Available in: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192015001000007

Global Initiative for Chronic Obstructive Lung Disease. Global strategy for diagnosis, management, and prevention of COPD. 2018 [acces: 10/11/2019]. Available in: https://goldcopd.org/wp-content/uploads/2017/11/GOLD-2018-v6.0-FINAL-revised-20-Nov_WMS.pdf

Miravitlles M, Soler-Cataluña JJ, Calle M, Molina J, Almagro P, Quintano JA, et al. Guía española de la enfermedad pulmonar obstructiva crónica (GesEPOC) 2017. Tratamiento farmacológico en fase estable. Arch Bronconeumol. 2017 [acces: 13/01/2020]; 53(6):324-35. Available in: https://www.archbronconeumol.org/es-guia-espanola-enfermedad-pulmonar-obstructiva-articulo-S0300289617300844

Teixeira Pinto Viana RC, Pimentel Pincelli M, Pizzichini E, Pacheco Silva A, Manes J, Dias Marconi T, et al. Chronic obstructive pulmonary disease exacerbation in the intensive care unit: clinical, functional and quality of life at discharge and 3 months of follow up. Rev Bras Ter Intensiva. 2017;29(1):47-54.

Navarro Rodríguez Z, Torres Maceo JM, Romero García LI, Ortiz Zamora C. Factores predictivos de fracaso de la ventilación no invasiva en la enfermedad pulmonar obstructiva exacerbada. Rev Cub Med Int Emerg. 2017 [acces: 27/12/2019]; 16(4):93-103. Available in: https://www.medigraphic.com/pdfs/revcubmedinteme/cie-2017/cie174i.pdf

Soler Cataluña JJ, Martínez García MA. Factores pronósticos en la EPOC. Arch Bronconeumol. 2007 [acces: 13/01/2020]; 43(12):680-91. Available in: https://www.archbronconeumol.org/es-factores-pronosticos-epoc-articulo-13112967

Smith TA, Ingham JM, Jenkins CR. Respiratory Failure, Noninvasive Ventilation, and Symptom Burden: An Observational Study. J Pain Symptom Manage. 2019; 57(2): 282-89.

Osadnik CR, Tee VS, Carson-Chahhoud KV, Picot J, Wedzicha JA, Smith BJ. Noninvasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary disease. Cochrane Clinical Answers. Cochrane Database Syst Rev. 2017 [acces: 13/01/2020]; 7(7). Available in: https://www.ncbi.nlm.nih.gov/pubmed/28702957

Esquinas Rodríguez A, Cabriada Nuño V, Ayuso Baptista F, Artacho Ruiz R, Minaya García JA. Manual práctico de VNI en Medicina de Urgencias y Emergencias. Madrid: Aula Médica; 2008. p. 17

Honrubia T, Garcia Lopez FJ, Franco N, Mas M, Guevara M, Daguerre M, et al. Noninvasive vs conventional mechanical ventilation in acute respiratory failure: a multicenter, randomized controlled trial. Chest. 2005 [acces: 13/01/2020]; 128(6): 3916-24. Available in: https://www.ncbi.nlm.nih.gov/pubmed/16354864





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