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《Chinese Journal of Respiratory and Critical Care Medicine》 2002-04
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Application of noninvasive positive pressure ventilation in surgical intensive care unit

LUO Zhe,ZHU Duming, NIU Shanfu . Department of Anesthesia, Zhongshan Hospital Fudan University. Shanghai 200032, China  
Objective To retrospectively analysis cases therapied by NIPV in SICU for evaluating application of NIPV in SICU.Methods All cases treated by NIPV in SICU were collected from Jun 2001 to May 2002.Data included general conditions,primary diseases,operations, APACHE score,lung function,blood gas and procedure of NIPV, etc.Results Total cases were 54, including 47 in group of rescue, and 7 in group of prophylaxis.Group of rescue: Mean scores of APACHE Ⅱ were 11.64 ± 4.73.Mean respiratory rate before therapy were (29.44±4.84)bpm,which were (25.15 + 4.93)bpm 1 hour after therapy( P 0.05 ). Mean oxygenation index before therapy was (154.06 ± 77.03) mm Hg, which were (189.13191.52) mm Hg 1 hour after therapy(P0.05) .Ratio of non-placing artificial trachea was 61.7%, successful ratio was 55.3 % , survival ratio was 76.6 % . In analysis of Binary logistic, impact of APACHE Ⅱ score and secretions of trachea on effect of NIPV was significant (P0.05). Group of prophylaxis: Mean cumulative therapeutical time were (41.43 ± 6.97 ) hours.Ratio of non-placing artificial trachea was 100% ,successful ratio was 100% ,survival ratio was 100% .There were no complications associated with NIPV.Conclusions It is valuable that NIPV treats postoperative ARE and prevents postoperative pulmonary complications in patients of severe pulmonary dysfunction. APACHE Ⅱ score and secretions of trachea are important considerations in selecting suitable patients received NIPV. In generally NIPV is a safe and well-compliant treatment.
【CateGory Index】: R605.97
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