Nasal Positive Pressure Ventilation in Patients with Acute Respiratory Failure (3)

Nasal Positive Pressure Ventilation in Patients with Acute Respiratory Failure (3)We therefore decided to assess closely the added time consumption for our health-care team in managing a group of patients primarily submitted to NPPV in whom, for different reasons, intubation and mechanical ventilation were clearly indicated, but not immediately possible. The precise measurement of the amount of time spent with these patients, which appeared to be closely related to their type of respiratory disease, forms the basis of the present report.
Materials and Methods
Patients
Six consecutive patients were prospectively studied. A patient was eligible for this study when he was considered by the clinical team in charge as needing urgent intubation and mechanical ventilation but, for any reason, intubation was refused or deemed to be detrimental or hazardous (see individual case reports for details and indications for intubation). The duration of this study was 12 months (ie, between Feb 3, 1989, and Jan 5, 1990). During the same period, we intubated and ventilated a total of 189 patients for various indications in our 15-bed general ICU.
The first case is described with details explaining some aspects of the methods, whereas the following five cases will be more briefly summarized: only the original points will therefore be detailed.

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