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Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi,

Intensive care mechanical ventilators with non-invasive mode: Are they more successful in noninvasive ventilation?. Nalan Adıgüzel , Zuhal Karakurt, Gökay Güngör, Özlem Yazıcıoğlu Moçin, Merih Kalamanoğlu Balcı, Eylem Acartürk, Hüseyin Arpağ, Adnan Yılmaz.

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Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi,

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  1. Intensive care mechanical ventilators with non-invasive mode: Are they more successful in noninvasive ventilation? Nalan Adıgüzel, Zuhal Karakurt, Gökay Güngör, Özlem Yazıcıoğlu Moçin, Merih Kalamanoğlu Balcı, Eylem Acartürk, Hüseyin Arpağ, Adnan Yılmaz. Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, Solunumsal Yoğun Bakım Ünitesi, İstanbul, Türkiye

  2. Intensive Care Ventilators(ICV) • Designed to ventilate intubated patients, with minimal or no leak • These machines have been increasingly used for NIV over the years

  3. Leaks at the patient-mask interface:Decrease tolerance to NIV • Interfere with several key aspects of ventilator fuction (autotriggering, decreased pressurization,premature cycling…) • Patient- ventilator asynchrony • Enhancing ventilator performance to minimize the negative impact of leaks, NIV modes integrated to ventilators

  4. Aim The success of noninvasive ventilation at 1st and 24th hours of ventilation, using intensive care ventilators with and without noninvasive mode(NIV), for patients presenting with acute respiratory failure(ARF) were compared

  5. Methods-I Study design: prospective, observational, clinical study Study period :October 2009 to December 2009 Yer: Respiratory ICU Patients: 45 patients with ARF treated by NIV

  6. Methods-II: Patient groups ICU ventilators with NIV mode ICU ventilators without NIV mode Patient records • Demographic findings • APACHE II score • ABG at NIV 1st ve 24th hours • NIV mode • NIV failure: (entubation) • Length of ICU stay • Mortality Group 1 Group 2

  7. Two groups compared according to demograhic characteristics, NIV success and mortality Methods-III Grup 2 • ICU data • NIV success • mortality

  8. Results-I

  9. Conclusion It was detected that presence of NIV mode in ICV during NIV did not influence NIV success in our patients having ARF with same level of disease severity The reason of no difference can be attributed performing NIV with controlled mode and minimal mask-interface leak.

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