The nursing effect of noninvasive-invasive mechanical ventilation on COPD patients with severe respiratory failure
HUANG Ying1, GE Jihui1, MAO Yanjun2
1.Department of Emergency Care Unit, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China; 2.Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China
HUANG Ying,GE Jihui,MAO Yanjun. The nursing effect of noninvasive-invasive mechanical ventilation on COPD patients with severe respiratory failure[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2019, 49(2): 143-145，153.
Abstract：Objective: To evaluate the nursing effect of withdrawing artificial airway catheter in the sequential treatment by invasive or non-invasive mechanical ventilation on chronic obstructive pulmonary disease (COPD) patients with severe respiratory failure. Methods: Two groups of patients (76 cases) were given the same dose of anti-infection, cough and phlegm treatment and stable water electrolyte acid-base balance. The control group (38 cases) was treated with invasive mechanical ventilation (IPPV), and the sequential group (38 cases) was used as an noninvasive-invasive mechanical ventilation (NIPPV) when catheter was removed. Results: The time of ICU hospitalization, the number of cases of mechanical ventilation associated pneumonia (VAP), the vigor of the two groups, the time of invasive ventilation, and the total mechanical ventilation time were found to be significantly different between the two groups. Conclusion: The invasive and noninvasive sequential mechanical ventilation using PIC window as a switching point for patients with COPD with respiratory failure can shorten the duration of invasive mechanical ventilation, the number of VAP cases and the time of ICU occupancy.
