Abstract

NAVARRO RODRIGUEZ, Zadis et al. Predictive factors for the success of noninvasive mechanical ventilation in acute respiratory failure. MEDISAN [online]. 2014, vol.18, n.1, pp.68-77. ISSN 1029-3019.

An observational, descriptive and analytic case-control study was conducted in 41 patients with acute respiratory failure, treated with noninvasive mechanical ventilation and discharged from the care units for acutely ill patients at "Saturnino Lora Torres" Provincial Teaching Clinical Surgical Hospital of Santiago de Cuba, from 2012 to 2013, to describe the variability of hemogasometric and physiologic parameters and to estimate their predictive power in the successful outcome of the procedure. In the series the mean age was 60 years, with a predominance of males (61.0%), the technique was successful in 80.5% and significant results of success were observed in patients with chronic obstructive pulmonary disease, bronchial asthma and postextubation acute respiratory failure (76.9; 87.5 and 100.0%, respectively). The success of noninvasive mechanical ventilation led to a significant improvement in patients of the case material at the end of the evaluation of all physiologic and hemogasometric parameters, except for carbon dioxide blood pressure and sodium bicarbonate. Finally, it was concluded that only the Glasgow Coma Scale and oxygen blood pressure had a significant importance for the success prognosis

Keywords : noninvasive mechanical ventilation; predictive factors; physiologic parameters; hemogasometric parameters; acute respiratory failure; secondary health care.

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