Non-Invasive Ventilation versus Invasive Mechanical Ventilation: Results from a Tertiary Care Hospital
Pakistan Journal of Medical and Health Sciences
; 16(1):256-258, 2022.
Article
in English
| EMBASE | ID: covidwho-1677849
ABSTRACT
Objective:
To compare the patient outcome in severe COVID-19 pneumonia between the non-invasive ventilation and invasive mechanical ventilation. Studydesign:
Prospective, observational study Study Setting and Duration Department of Pulmonology, Bahawal Victoria Hospital, Bahawalpur from January 2021 to June 2021.Methodology:
We analyzed 660 patients of severe covid pneumonia. Conscious proning was done in those requiring ≥ 21 L oxygen and oxygen saturation < 90%. We defined typical ARDS according to Berlin criteria. Atypical ARDS did not fulfill set criteria. We divided ARDS into 2 types i-e H and L type. We managed ARDS with either NIV, invasive mechanical ventilation or both. We used multiple regression analysis to predict ICU stay.Results:
Out of 660 patients, 285 (43.18%) developed biPAP failure and were subsequently intubated. We observed 273 (41.4%) overall mortality, 175 (64.1%) in IMV and 98 (35.9%) in the NIV group (p<0.0001). invasive mechanical ventilation had statistically significant correlation with mortality and also predicted ICU stay. (p=< 0.001, OR 3.2, p=0.001).Conclusion:
NIV therapy is superior to invasive mechanical ventilation in terms of ICU stay and outcome.
adult; all cause mortality; article; artificial ventilation; Berlin criteria; controlled study; coronavirus disease 2019; female; human; intermittent mandatory ventilation; invasive ventilation; major clinical study; male; mortality; multiple regression; noninvasive ventilation; observational study; oxygen saturation; pneumonia; prospective study; pulmonology; tertiary care center
Full text:
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Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Pakistan Journal of Medical and Health Sciences
Year:
2022
Document Type:
Article
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