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Adaptation to different noninvasive ventilation masks in critically ill patients

OBJECTIVE: To identify which noninvasive ventilation (NIV) masks are most commonly used and the problems related to the adaptation to such masks in critically ill patients admitted to a hospital in the city of São Paulo, Brazil. METHODS: An observational study involving patients ≥ 18 years of age ad...

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Autores principales: da Silva, Renata Matos, Timenetsky, Karina Tavares, Neves, Renata Cristina Miranda, Shigemichi, Liane Hirano, Kanda, Sandra Sayuri, Maekawa, Carla, Silva, Eliezer, Eid, Raquel Afonso Caserta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Pneumologia e Tisiologia 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075859/
https://www.ncbi.nlm.nih.gov/pubmed/24068269
http://dx.doi.org/10.1590/S1806-37132013000400011
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author da Silva, Renata Matos
Timenetsky, Karina Tavares
Neves, Renata Cristina Miranda
Shigemichi, Liane Hirano
Kanda, Sandra Sayuri
Maekawa, Carla
Silva, Eliezer
Eid, Raquel Afonso Caserta
author_facet da Silva, Renata Matos
Timenetsky, Karina Tavares
Neves, Renata Cristina Miranda
Shigemichi, Liane Hirano
Kanda, Sandra Sayuri
Maekawa, Carla
Silva, Eliezer
Eid, Raquel Afonso Caserta
author_sort da Silva, Renata Matos
collection PubMed
description OBJECTIVE: To identify which noninvasive ventilation (NIV) masks are most commonly used and the problems related to the adaptation to such masks in critically ill patients admitted to a hospital in the city of São Paulo, Brazil. METHODS: An observational study involving patients ≥ 18 years of age admitted to intensive care units and submitted to NIV. The reason for NIV use, type of mask, NIV regimen, adaptation to the mask, and reasons for non-adaptation to the mask were investigated. RESULTS: We evaluated 245 patients, with a median age of 82 years. Acute respiratory failure was the most common reason for NIV use (in 71.3%). Total face masks were the most commonly used (in 74.7%), followed by full face masks and near-total face masks (in 24.5% and 0.8%, respectively). Intermittent NIV was used in 82.4% of the patients. Adequate adaptation to the mask was found in 76% of the patients. Masks had to be replaced by another type of mask in 24% of the patients. Adequate adaptation to total face masks and full face masks was found in 75.5% and 80.0% of the patients, respectively. Non-adaptation occurred in the 2 patients using near-total facial masks. The most common reason for non-adaptation was the shape of the face, in 30.5% of the patients. CONCLUSIONS: In our sample, acute respiratory failure was the most common reason for NIV use, and total face masks were the most commonly used. The most common reason for non-adaptation to the mask was the shape of the face, which was resolved by changing the type of mask employed.
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spelling pubmed-40758592014-07-16 Adaptation to different noninvasive ventilation masks in critically ill patients da Silva, Renata Matos Timenetsky, Karina Tavares Neves, Renata Cristina Miranda Shigemichi, Liane Hirano Kanda, Sandra Sayuri Maekawa, Carla Silva, Eliezer Eid, Raquel Afonso Caserta J Bras Pneumol Original Articles OBJECTIVE: To identify which noninvasive ventilation (NIV) masks are most commonly used and the problems related to the adaptation to such masks in critically ill patients admitted to a hospital in the city of São Paulo, Brazil. METHODS: An observational study involving patients ≥ 18 years of age admitted to intensive care units and submitted to NIV. The reason for NIV use, type of mask, NIV regimen, adaptation to the mask, and reasons for non-adaptation to the mask were investigated. RESULTS: We evaluated 245 patients, with a median age of 82 years. Acute respiratory failure was the most common reason for NIV use (in 71.3%). Total face masks were the most commonly used (in 74.7%), followed by full face masks and near-total face masks (in 24.5% and 0.8%, respectively). Intermittent NIV was used in 82.4% of the patients. Adequate adaptation to the mask was found in 76% of the patients. Masks had to be replaced by another type of mask in 24% of the patients. Adequate adaptation to total face masks and full face masks was found in 75.5% and 80.0% of the patients, respectively. Non-adaptation occurred in the 2 patients using near-total facial masks. The most common reason for non-adaptation was the shape of the face, in 30.5% of the patients. CONCLUSIONS: In our sample, acute respiratory failure was the most common reason for NIV use, and total face masks were the most commonly used. The most common reason for non-adaptation to the mask was the shape of the face, which was resolved by changing the type of mask employed. Sociedade Brasileira de Pneumologia e Tisiologia 2013 /pmc/articles/PMC4075859/ /pubmed/24068269 http://dx.doi.org/10.1590/S1806-37132013000400011 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
da Silva, Renata Matos
Timenetsky, Karina Tavares
Neves, Renata Cristina Miranda
Shigemichi, Liane Hirano
Kanda, Sandra Sayuri
Maekawa, Carla
Silva, Eliezer
Eid, Raquel Afonso Caserta
Adaptation to different noninvasive ventilation masks in critically ill patients
title Adaptation to different noninvasive ventilation masks in critically ill patients
title_full Adaptation to different noninvasive ventilation masks in critically ill patients
title_fullStr Adaptation to different noninvasive ventilation masks in critically ill patients
title_full_unstemmed Adaptation to different noninvasive ventilation masks in critically ill patients
title_short Adaptation to different noninvasive ventilation masks in critically ill patients
title_sort adaptation to different noninvasive ventilation masks in critically ill patients
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075859/
https://www.ncbi.nlm.nih.gov/pubmed/24068269
http://dx.doi.org/10.1590/S1806-37132013000400011
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