📘 ❞ Predictors of Success of Noninvasive Ventilation in Patients with COPD Exacerbations (Role of Clinical Parameters and Arterial Blood Gases) ❝ بحث أكاديمي اصدار 2024
كتب الطب البشري - 📖 بحث أكاديمي ❞ Predictors of Success of Noninvasive Ventilation in Patients with COPD Exacerbations (Role of Clinical Parameters and Arterial Blood Gases) ❝ ــ مجموعة من المؤلفين 📖
█ _ مجموعة من المؤلفين 2024 حصريا بحث أكاديمي ❞ Predictors of Success Noninvasive Ventilation in Patients with COPD Exacerbations (Role Clinical Parameters and Arterial Blood Gases) ❝ عن الجمعية المصرية لطب الحالات الحرجة Gases): BSTRACT Background: mechanical ventilation (NIV) decreases the need for endotracheal intubation (ETI) also mortality severe acute exacerbation (AECOPD) Objective: The aim current study is to assess determinants NIV effectiveness patients methods: Our was a cross sectional comparative A total 100 AECOPD were included this admitted Respiratory Intensive Care Unit (RICU) Minia Cardiothoracic University Hospital All evaluated at time admission, start NIV, after 1 hour (hr) end This evaluation heart rate, respiratory systolic blood pressure, diastolic arterial gases (ABG) which include PaO2, PaCO2, PH, HCO3, as well PaO2 FiO2 ratio Results: divided into 2 groups; 85 (85%) improved (success group, Group I) 15 (15%) failed intubated (Group II) PO2, PCO2 revealed significant improvement hr, persisted till success group data including pressure showed difference between two groups hospital admission initiation After these variables that continued Also, hr Multivariate analysis PH <7 26 RR ≥ 35 (at admission) are predictors failure Conclusion: parameters HR, ABG, could predict Improvement within be good predictor Keywords: exacerbation, parameters, ABG كتب الطب البشري مجاناً PDF اونلاين هو أكثر التخصصات التي تفيد المجتمع وأكثرها تواصلاً معه يشارك الطبيب العديد الحملات الصحية التثقيفية والمشاركة البرامج الوقائية وحماية البيئة واستخدام كل وسيلة فعَّآلة لتحقيق ذلك ويساهم أيضاً رفع مستوى الوعي الصحي وتقديم المشورة للمجتمع يحتوي هذا القسم علي الكتب المتميزة تشمل: الإلمام الكامل بالأمراض تصيب جسم الإنسان والأعراض المصاحبة لهذه الأمراض وطرق تطوير صحة ويتخصص المجال أطباء يحصلون شهادة MD وهي أول الشهادات يحصل عليها المبتدأ مجال الطب
بحث أكاديمي
Predictors of Success of Noninvasive Ventilation in Patients with COPD Exacerbations (Role of Clinical Parameters and Arterial Blood Gases)
ــ مجموعة من المؤلفين
صدر 2024م عن الجمعية المصرية لطب الحالات الحرجة
بحث أكاديمي
Predictors of Success of Noninvasive Ventilation in Patients with COPD Exacerbations (Role of Clinical Parameters and Arterial Blood Gases)
صدر 2024م عن الجمعية المصرية لطب الحالات الحرجة-
مساهمة من: Dr Mohammed omar Abdelaziz
( الثلاثاء 13 فبراير 2024 ( 5:17 مساءً )) - تبليغ عن سوء استخدام
BSTRACT Background: Noninvasive mechanical ventilation (NIV) decreases the need for endotracheal intubation (ETI) and also decreases mortality in severe acute exacerbation of COPD (AECOPD). Objective: The aim of the current study is to assess determinants of NIV effectiveness in patients with COPD exacerbation. Patients and methods: Our study was a cross-sectional comparative study.
A total 100 patients with AECOPD were included in this study. Patients were admitted to the Respiratory Intensive Care Unit (RICU) in Minia Cardiothoracic University Hospital. All patients were evaluated at the time of admission, at the start of NIV, after 1 hour (hr) of NIV and at the end of NIV. This evaluation included heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure, and arterial blood gases (ABG) which include PaO2, PaCO2, PH, HCO3, as well as PaO2 /FiO2 ratio. Results: Patients were divided into 2 groups; 85 (85%) patients improved with NIV (success group, Group I) and 15 (15%) patients failed NIV and were intubated (Group II).
PH, PO2, as well as PCO2 revealed significant improvement after 1 hr, which persisted till the end of the study in the success group. Clinical data including heart rate, respiratory rate, systolic blood pressure, and diastolic blood pressure showed significant difference between the two groups at time of hospital admission and the initiation of NIV. After 1 hr, these variables showed significant improvement in the success group that continued till the and at the end of the study. Also, PaO2/FiO2 ratio showed a significant improvement in the success group after 1 hr of NIV.
Multivariate analysis showed PH
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