Survey of sedation practices during noninvasive positive-pressure ventilation to treat acute respiratory failure

Devlin, John W.; Nava, Stefano; Fong, Jeffrey; Bahhady, Imad; Hill, Nicholas S.

doi:10.1097/01.ccm.0000284512.21942.f8

Cited by 104 publications

(58 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, clinicians are usually reluctant to administer sedative agents, fearing that these might decrease respiratory drive and consciousness, which could lead to NIV failure. Devlin et al 105 conducted a survey to characterize current practices and attitudes regarding sedation during NIV. Of physicians who responded, 15%, 6%, and 28% never used sedation, analgesia, or hand restraints, respectively, at any time for patients receiving NIV.…”

Section: When To Sedatementioning

confidence: 99%

Noninvasive Ventilation for Acute Respiratory FailureDiscussion

2013

View full text Add to dashboard Cite

Section: When To Sedatementioning

confidence: 99%

Noninvasive Ventilation for Acute Respiratory FailureDiscussion

2013

View full text Add to dashboard Cite

“…A selection bias, favoring physicians who use NIV to respond, might have occurred. Therefore, it is difficult to extrapolate the results of this survey to the whole country; however, similar surveys done in the U.S. and India reported comparable results, at even lower response rates (17,18,38). For logistical reasons, we surveyed only pulmonary physicians, but other branches, such as anesthesiologists or cardiologists, may also use NIV for ARF.…”

Section: Discussionmentioning

confidence: 99%

Approach of pulmonologists in turkey to noninvasive mechanical ventilation use in acute respiratory failure

Ergan²,

H³

et al. 2015

Tuberk Toraks

View full text Add to dashboard Cite

“…In a survey of sedation practices for NIV in ARF, Devlin et al 14 found that only 15% of respondents have never used sedation for NIV patients. Among the agents most frequently used were benzodiazepines.…”

Section: Discussionmentioning

confidence: 99%

Noninvasive Ventilation in Severe Acute Asthma

Cappiello

Hocker

2014

Respir Care

View full text Add to dashboard Cite

Noninvasive ventilation (NIV) in severe acute asthma is controversial but may benefit this population by preventing intubation. We report on a 35-year-old male asthma patient who presented to our emergency department via emergency medical services. The patient was responsive, diaphoretic, and breathing at 35 breaths/min on 100% oxygen with bag-mask assistance, with S pO 2 88%, heart rate 110 -120 beats/min, blood pressure 220/110 mm Hg, and temperature 35.8°C. NIV at 12/5 cm H 2 O and F IO 2 0.40 was applied, and albuterol at 40 mg/h was initiated. Admission arterial blood gas revealed a pH of 6.95, P aCO 2 126 mm Hg, and P aO 2 316 mm Hg. After 90 min of therapy, P aCO 2 was 63 mm Hg. Improvement continued, and NIV was stopped 4 h following presentation. NIV tolerance was supported with low doses of lorazepam. The patient was transferred to the ICU, moved to general care the next morning, and discharged 3 days later. We attribute our success to close monitoring in a critical care setting and the titration of lorazepam.

show abstract

Survey of sedation practices during noninvasive positive-pressure ventilation to treat acute respiratory failure

Abstract: Most physicians infrequently use sedation and analgesic therapy for NPPV to treat acute respiratory failure, but practices vary widely within and between specialties and geographic regions.

Cited by 104 publications

References 31 publications

Noninvasive Ventilation for Acute Respiratory FailureDiscussion

Noninvasive Ventilation for Acute Respiratory FailureDiscussion

Approach of pulmonologists in turkey to noninvasive mechanical ventilation use in acute respiratory failure

Noninvasive Ventilation in Severe Acute Asthma

Contact Info

Product

Resources

About