OBJECTIVE: The use of noninvasive mechanical ventilation was evaluated in our series of patients admitted to our ICU with pneumonia due to influenza A virus H1N1, assessing the need for intubation, arterial blood gases and clinical improvement, the development of complications and ICU and hospital stay. DESIGN: Retrospective and observational study. SETTING: ICU of Castellón University General Hospital (Castellón, Spain). POPULATION: Patients admitted to ICU with pneumonia due to influenza A virus H1N1 and acute hypoxemic respiratory failure. INTERVENTIONS: Boussignac CPAP, Helmet system and BiPAP Vision(®) were used. RESULTS: Five of 10 patients with pneumonia and hypoxemia were analyzed, showing 100% effectiveness of noninvasive mechanical ventilation in terms of clinical and arterial blood gas improvement, and avoiding intubation in all cases. There were no patient deaths in ICU or in hospital. The duration (median) of ventilation was 6 (4-11) days, with an ICU stay of 9 (7-11) days. The number of complications was low (except for urinary tract infection due to Pseudomonas aeruginosa), and only the noise produced by CPAP was underscored. There were no infections among the staff. CONCLUSIONS: Based on our results, increased use of noninvasive mechanical ventilation in future epidemics coujld be proposed.
OBJECTIVE: The use of noninvasive mechanical ventilation was evaluated in our series of patients admitted to our ICU with pneumonia due to influenza A virus H1N1, assessing the need for intubation, arterial blood gases and clinical improvement, the development of complications and ICU and hospital stay. DESIGN: Retrospective and observational study. SETTING: ICU of Castellón University General Hospital (Castellón, Spain). POPULATION: Patients admitted to ICU with pneumonia due to influenza A virus H1N1 and acute hypoxemic respiratory failure. INTERVENTIONS: Boussignac CPAP, Helmet system and BiPAP Vision(®) were used. RESULTS: Five of 10 patients with pneumonia and hypoxemia were analyzed, showing 100% effectiveness of noninvasive mechanical ventilation in terms of clinical and arterial blood gas improvement, and avoiding intubation in all cases. There were no patient deaths in ICU or in hospital. The duration (median) of ventilation was 6 (4-11) days, with an ICU stay of 9 (7-11) days. The number of complications was low (except for urinary tract infection due to Pseudomonas aeruginosa), and only the noise produced by CPAP was underscored. There were no infections among the staff. CONCLUSIONS: Based on our results, increased use of noninvasive mechanical ventilation in future epidemics coujld be proposed.
Authors: Antoni Torres; José Barberán; Adrian Ceccato; Ignacio Martin-Loeches; Miguel Ferrer; Rosario Menéndez; David Rigau Journal: Arch Bronconeumol Date: 2020-03-01 Impact factor: 4.872
Authors: C Cinesi Gómez; Ó Peñuelas Rodríguez; M L Luján Torné; C Egea Santaolalla; J F Masa Jiménez; J García Fernández; J M Carratalá Perales; S B Heili-Frades; M Ferrer Monreal; J M de Andrés Nilsson; E Lista Arias; J L Sánchez Rocamora; J I Garrote; M J Zamorano Serrano; M González Martínez; E Farrero Muñoz; O Mediano San Andrés; G Rialp Cervera; A Mas Serra; G Hernández Martínez; C de Haro López; O Roca Gas; R Ferrer Roca; A Romero Berrocal; C Ferrando Ortola Journal: Rev Esp Anestesiol Reanim (Engl Ed) Date: 2020-04-16
Authors: César Cinesi Gómez; Óscar Peñuelas Rodríguez; Manel Luján Torné; Carlos Egea Santaolalla; Juan Fernando Masa Jiménez; Javier García Fernández; José Manuel Carratalá Perales; Sarah Béatrice Heili-Frades; Miquel Ferrer Monreal; José M de Andrés Nilsson; Eva Lista Arias; Juan Luis Sánchez Rocamora; José Ignacio Garrote; Miguel J Zamorano Serrano; Mónica González Martínez; Eva Farrero Muñoz; Olga Mediano San Andrés; Gemma Rialp Cervera; Arantxa Mas Serra; Gonzalo Hernández Martínez; Candelaria de Haro López; Oriol Roca Gas; Ricard Ferrer Roca; Antonio Romero Berrocal; Carlos Ferrando Ortola Journal: Med Intensiva Date: 2020-03-30 Impact factor: 2.491
Authors: A Belenguer Muncharaz; H Hernández-Garcés; C López-Chicote; S Ribes-García; J Ochagavía-Barbarín; R Zaragoza-Crespo Journal: Med Intensiva (Engl Ed) Date: 2020-09-04