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《Chongqing Medicine》 2008-24
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Timing for sequential noninvasive following invasive mechanical ventilation in COPD patients with respiratory failure

LONG Sheng-ze,QIN Zhi-qiang,HUANG Guo-lan,et al.(Guangxi People′s Hospital,Nannin,Guangxi 530021,China)  
Objective To discuss the optimal timing for sequential noninvasive following invasive mechanical ventilation in chronic obstructive pulmonary disease(COPD) patients with severe hypercapnic respiratory failure.Methods Forty-nine invasive mechanical ventilation(MV) COPD patients with severe hypercapnic respiratory failure were involved in the study.When the respiratory pump failure(RPFI) was improved by the antibiotic and comprehensive therapy,all cases were random ized into noninvasive positive pressure ventilation(NPPV) group and control group.The early extubation was conducted and followed by noninvasive mechanical ventilation via facial mask immediately in the NPPV group.Conventional invasive mechanical ventilation was used as the weaning technique in the control group.The incidence of VAP,incidence of reintubation and mortality,the duration of invasive mechanical ventilation and days in ICU,were analyzed and compared.Results There were 24 cases in the NPPV group and 25 cases in the control group.In the NIV group,the duration of invasive mechanical ventilation was(2.8±0.9)d,while the duration was(20.5±6.5)d in the control group(P0.01).The durations of ICU stay was shorter than that in the control group.The incidence of VAP was 16.67%(4/24) in the NPPV group,44.00%(11/25) in the control group respectively(P0.05).The hospital mortality was 12.50%(3/24) in the NPPV group,and 28.00%(7/25) in the control group(P0.05).The incidence of reintubation was 20.83%(5/24) in the NPPV group,16.00%(4/25) in the control group respectively(P0.05).Conclusion In those COPD patients with severe respiratory failure due to RFP requiring invasive MV,sequential noninvasive following invasive MV at the appearance of RPF improved might significantly have shorter duration of invasive MV and fewer days in ICU stay,and decrease the occurrence of VAP.
【CateGory Index】: R563.9;R563.8
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 XU Sicheng , HUANG Yifen , WANG Huhvu ,etal. "Department of Respiratory Medicine, The First Hospital of Xinjiang Medical College. Urmqi, Xinjiang 830000, China;Relevant factors which influence effects of noninvasive positive pressure ventilation on severe COPD patients with respiratory failure[J];Chinese Journal of Respiratory and Critical Care Medicine;2002-03
2 WANG Chen; SHANG Mingyu;HUANG Kewu,et al. (Beijing Red Cross Chaoyang Hospital-Beijing Institute of Respiratory Medicine,Capital University of Medical Sciences,Beijing 100020,China );Sequential non-invasive following short-term invasive mechanical ventilation in COPD induced hypercapnic respiratory failure[J];CHINESE JOURNAL OF TUBERCULOSIS AND RESPIRATORY DISEASES;2000-04
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 Chizhou People's Hospital,Anhui 247000,China SONG Qiu-ming,WEI Yu-ping,XU Xing;Therapeutic evaluation of three different connective modes of mechanical venti lation in patients with chronic obstructive pulmonary diseases (COPD) and acute respiratory failure(type Ⅱ)[J];Journal of Anhui Health Vocational & Technical College;2004-04
2 Qin Yong-ming , Zhang Xiao-jie The Third Bengbu Municipal People Hospital. Bengbu 233000;Curative Effect of BiPAP Ventilator for COPD with Type II Respiratory Failure Treatment[J];Anhui Journal of Preventive Medicine;2002-05
3 QIAN Zhao-xia,GAO Zhong-he (Department of Respiratory Diseases,Bengbu Third People's Hospital,Anhui 233000,China);Noninvasive mechanical ventilation for early pulmonary encephalopathy in the elderly[J];Journal of Bengbu Medical College;2005-01
4 Zhang Shu,Zhang Qi-lin(Deportment of respiration Shanghai No.7 People's Hospital);Analysis of the reasons in the treatment failure with noninvasive positive pressure ventilation for some patients with acute exacerbation of chronic obstructive pulmonary disease[J];Beijing Medical Journal;2008-12
5 LIU Zhengang LIU Jie WANG QiyanDepartment of Respirtory Disease,The Affiliated Wudi Hospital of Binzhou Medical University 251900;Analysis of treatment on patients who suffered from chronic obstructive pulmonary disease with type Ⅱ respiratory failure[J];Journal of Binzhou Medical University;2008-01
6 ;Biphasic positive airway pressure for postoperative ventilation in patients undergone coronary artery by- pass grafting[J];Academic Journal of Second Military Medical University;2004-08
7 SU Jin, YOU Chang-xuan, CAI Shao-xi, WANG Xiao-yan, ZHU Shun-fang, LUO Ya-lingDepartment of Respiration, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China;Emergency management of respiratory failure by endotracheal intubation through the nose under the guidance of portable bedside fibrobronchoscope[J];Journal of First Military Medical University;2002-05
8 YANG Wenlin,WANG Lihua.Department of Respiratory Medicine,Baoshan Sub-Hospital,the First People' s Hospital of Shanghai,Shanghai 200940,Shanghai;Effects of sequential mechanical ventilation in chronic obstructive pulmonary disease patients with severe respiratory failure[J];Clinical Medicine;2008-03
9 Chen Huimin Zhang Yaping Sheng Qihui etc(Huzhou prefecture Central Hospital,Zhejiang Huzhou,313000);Applied study on effect of evidence-based nursing on the decision of extubation in patients with sequential mechanical ventilation[J];Journal of Nurses Training;2006-05
10 Gao Mingrong Chen Shouzheng He Liyu etc;Pathogenic bacteria Survey and nursing strategies for ventilator associated pneumonia[J];Journal of Nurses Training;2007-18
China Proceedings of conference Full-text Database 1 Hits
1 ;EVALUATION OF NIPPV IN WEANING OF IPPV FOR PATIENTS WITH AECOPDABSTRACT[A];[C];2008
【Secondary Citations】
Chinese Journal Full-text Database 2 Hits
1 WANG Chen; SHANG Mingyu;HUANG Kewu,et al. (Beijing Red Cross Chaoyang Hospital-Beijing Institute of Respiratory Medicine,Capital University of Medical Sciences,Beijing 100020,China );Sequential non-invasive following short-term invasive mechanical ventilation in COPD induced hypercapnic respiratory failure[J];CHINESE JOURNAL OF TUBERCULOSIS AND RESPIRATORY DISEASES;2000-04
2 Zhu Lei,Niu Shanfu,Li Yangqin,et al;Mechanical ventilation via face mask in treatment of comatose patients with respiratory failure due to chronic obstructive pulmonary disease:Evaluation of therapeutic effectiveness[J];CHINESE CRITICAL CARE MEDICINE;1997-01
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