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The effect of non-invasive ventilation on intra-abdominal pressure

BACKGROUND: Non-invasive ventilation is a well-established treatment modality in patients with respiratory failure of different aetiologies. A previous case report described how non-invasive ventilation caused gastric distension and intra-abdominal hypertension with subsequent cardio-respiratory arr...

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Autores principales: Regli, Adrian, Nanda, Reoch, Braun, Jan P., Girardis, Massimo, Max, Martin, Malbrain, Manu L., De Keulenaer, Bart L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156478/
https://www.ncbi.nlm.nih.gov/pubmed/35193329
http://dx.doi.org/10.5114/ait.2022.113488
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author Regli, Adrian
Nanda, Reoch
Braun, Jan P.
Girardis, Massimo
Max, Martin
Malbrain, Manu L.
De Keulenaer, Bart L.
author_facet Regli, Adrian
Nanda, Reoch
Braun, Jan P.
Girardis, Massimo
Max, Martin
Malbrain, Manu L.
De Keulenaer, Bart L.
author_sort Regli, Adrian
collection PubMed
description BACKGROUND: Non-invasive ventilation is a well-established treatment modality in patients with respiratory failure of different aetiologies. A previous case report described how non-invasive ventilation caused gastric distension and intra-abdominal hypertension with subsequent cardio-respiratory arrest and clinical recovery following resuscitative efforts including gastric decompression with a nasogastric tube. METHODS: The aim of this prospective multicentre observational study was to assess the effect of non-invasive ventilation on intra-abdominal pressure. Following informed consent, intra-abdominal pressure and PaCO(2) were measured before and after the application of non-invasive ventilation for up to three days in critically ill patients requiring non-invasive ventilation. RESULTS: Thirty-five patients were enrolled; mean (±SD) age of 67.8 (±12.5) years, median (interquartile range) body mass index of 27.9 (24.5–30.0) kg m(–2), Acute Physiology and Chronic Health Evaluation II score of 15.8 (±6.4). On admission and after 24 hours of non-invasive ventilation, intra-abdominal pressure was 11.0 (7.5–15.0) mm Hg and 11.0 (8.5–14.5) mm Hg (P = 0.82) and PaCO(2) was 44.4 (±11.4) mm Hg and 51.3 (±14.3) mm Hg (P = 0.19), respectively. CONCLUSIONS: The application of non-invasive ventilation was not associated with an increase in intra-abdominal pressure over 72 hours in this small observational study. Thus, it appears that intra-abdominal pressure does not frequently increase when applying non-invasive ventilation in critically ill patients with respiratory failure.
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spelling pubmed-101564782023-05-17 The effect of non-invasive ventilation on intra-abdominal pressure Regli, Adrian Nanda, Reoch Braun, Jan P. Girardis, Massimo Max, Martin Malbrain, Manu L. De Keulenaer, Bart L. Anaesthesiol Intensive Ther Original and Clinical Articles BACKGROUND: Non-invasive ventilation is a well-established treatment modality in patients with respiratory failure of different aetiologies. A previous case report described how non-invasive ventilation caused gastric distension and intra-abdominal hypertension with subsequent cardio-respiratory arrest and clinical recovery following resuscitative efforts including gastric decompression with a nasogastric tube. METHODS: The aim of this prospective multicentre observational study was to assess the effect of non-invasive ventilation on intra-abdominal pressure. Following informed consent, intra-abdominal pressure and PaCO(2) were measured before and after the application of non-invasive ventilation for up to three days in critically ill patients requiring non-invasive ventilation. RESULTS: Thirty-five patients were enrolled; mean (±SD) age of 67.8 (±12.5) years, median (interquartile range) body mass index of 27.9 (24.5–30.0) kg m(–2), Acute Physiology and Chronic Health Evaluation II score of 15.8 (±6.4). On admission and after 24 hours of non-invasive ventilation, intra-abdominal pressure was 11.0 (7.5–15.0) mm Hg and 11.0 (8.5–14.5) mm Hg (P = 0.82) and PaCO(2) was 44.4 (±11.4) mm Hg and 51.3 (±14.3) mm Hg (P = 0.19), respectively. CONCLUSIONS: The application of non-invasive ventilation was not associated with an increase in intra-abdominal pressure over 72 hours in this small observational study. Thus, it appears that intra-abdominal pressure does not frequently increase when applying non-invasive ventilation in critically ill patients with respiratory failure. Termedia Publishing House 2022-02-16 /pmc/articles/PMC10156478/ /pubmed/35193329 http://dx.doi.org/10.5114/ait.2022.113488 Text en Copyright © Polish Society of Anaesthesiology and Intensive Therapy https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) ), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original and Clinical Articles
Regli, Adrian
Nanda, Reoch
Braun, Jan P.
Girardis, Massimo
Max, Martin
Malbrain, Manu L.
De Keulenaer, Bart L.
The effect of non-invasive ventilation on intra-abdominal pressure
title The effect of non-invasive ventilation on intra-abdominal pressure
title_full The effect of non-invasive ventilation on intra-abdominal pressure
title_fullStr The effect of non-invasive ventilation on intra-abdominal pressure
title_full_unstemmed The effect of non-invasive ventilation on intra-abdominal pressure
title_short The effect of non-invasive ventilation on intra-abdominal pressure
title_sort effect of non-invasive ventilation on intra-abdominal pressure
topic Original and Clinical Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156478/
https://www.ncbi.nlm.nih.gov/pubmed/35193329
http://dx.doi.org/10.5114/ait.2022.113488
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