Oscar Ivan Quintero1, Alvaro Ignacio Sanchez2, Paola Andrea Chavarro3, Isabel Cristina Casas4, Gustavo Adolfo Ospina Tascón5. 1. Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia. Electronic address: o.i.q@hotmail.com. 2. Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia; Division of Surgery, Fundación Valle del Lili, Cali, Colombia. 3. Department of Intensive Care Medicine, Fundación Valle del Lili, Cali, Colombia; Facultad de Salud, Escuela de Rehabilitación Humana, Universidad del Valle, Cali, Colombia. 4. Facultad de Salud, Escuela de Rehabilitación Humana, Universidad del Valle, Cali, Colombia. 5. Department of Intensive Care Medicine, Fundación Valle del Lili, Cali, Colombia; Facultad de Ciencias de la Salud, Universidad ICESI, Cali, Colombia.
Abstract
INTRODUCTION: The presence of oral or naso-enteral probes during non-invasive mechanical ventilation (NIMV) increases the risk of leakage and patient discomfort. The objective of this study was to evaluate the effectiveness of a novel tube adapter for NIMV (TA-NIMV) in relation to leakage and comfort level. METHODS: A non-randomized quasi-experimental design was performed in an adult intensive care unit of a highly complex hospital, in which patients were their own controls. We included adult patients who required NIV with oronasal mask and who simultaneously had oral or naso-enteric tubes. The interventions were as follows: every participant received two therapies, one with the TA-NIMV and one conventional therapy of NIMV (CT-NIMV). Comfort could be evaluated in 99 patients with a Glasgow Coma Scale of 15. The outcomes of interest was the average percentage of air leak and patient comfort during each intervention. RESULTS: 196 patients were included in the study during a 16-month period. The mean air leak percentage was 9.2% [standard deviation (SD), 7.7] during TA-NIMV and 32.5% (SD, 12.5) during CT-NIMV (p<0.001). 84.9% reported being comfortable or very comfortable during TA-VMNI. 66.7% Uncomfortable or Very uncomfortable during CT-NIMV (p<0.001). CONCLUSION: Higher comfort levels and lower air leakage volume percentages were achieved using the TA-NIMV than those achieved by CT-NIMV.
INTRODUCTION: The presence of oral or naso-enteral probes during non-invasive mechanical ventilation (NIMV) increases the risk of leakage and patient discomfort. The objective of this study was to evaluate the effectiveness of a novel tube adapter for NIMV (TA-NIMV) in relation to leakage and comfort level. METHODS: A non-randomized quasi-experimental design was performed in an adult intensive care unit of a highly complex hospital, in which patients were their own controls. We included adult patients who required NIV with oronasal mask and who simultaneously had oral or naso-enteric tubes. The interventions were as follows: every participant received two therapies, one with the TA-NIMV and one conventional therapy of NIMV (CT-NIMV). Comfort could be evaluated in 99 patients with a Glasgow Coma Scale of 15. The outcomes of interest was the average percentage of air leak and patient comfort during each intervention. RESULTS: 196 patients were included in the study during a 16-month period. The mean air leak percentage was 9.2% [standard deviation (SD), 7.7] during TA-NIMV and 32.5% (SD, 12.5) during CT-NIMV (p<0.001). 84.9% reported being comfortable or very comfortable during TA-VMNI. 66.7% Uncomfortable or Very uncomfortable during CT-NIMV (p<0.001). CONCLUSION: Higher comfort levels and lower air leakage volume percentages were achieved using the TA-NIMV than those achieved by CT-NIMV.
Keywords:
Comodidad del paciente; Fuga; Gastric feeding tube; Intensive care units; Leak; Non-invasive ventilation; Patient comfort; Sonda de alimentación gástrica; Unidades de cuidados intensivos; Ventilación no invasiva