medigraphic.com
ISSN 1561-3046 (Electronic)

2020, Number 4

<< Back Next >>

Rev Cub Med Mil 2020; 49 (4)

Prediction scale of non-invasive ventilation failure in acute chronic obstructive pulmonary disease

Navarro RZ, Romero GLI

Language: Spanish
References: 20
Page:
PDF size: 260.84 Kb.


ABSTRACT

Introduction: There are currently no predictive scales, easy to apply, for the failure of non-invasive ventilation in acute chronic obstructive pulmonary disease.
Objectives: To validate a predictive scale of failure of non-invasive ventilation in a group of patients based on the factors identified as predictors of failure.
Methods: A cohort study was carried out in patients with acute chronic obstructive pulmonary disease, treated with non-invasive ventilation, graduated from the serious patient care units of the “Saturnino Lora” Provincial Hospital, from January 2011 to January 2016, in whom the predictive factors of failure were identified. The sample was made up of 118 patients. At a second moment, the predictive scale was designed. For its validation, a cohort study was conducted in a new sample of 82 patients with the same characteristics, recruited from January 2016 to January 2019.
Results: The presence of leaks, the onset of symptoms of more than 24 hours, the decrease in the average values ​​of the Glasgow Coma Scale and pH, the increase in heart and respiratory rates and PaCO2, are associated with failure of noninvasive ventilation. The factors with causal magnitude were respiratory rate, heart rate, and PaCO2 at two hours.
Conclusions: The predictive scale of failure of non-invasive ventilation in acute chronic obstructive pulmonary disease is adequate to determine the probability of failure of the therapeutic procedure.


REFERENCES

  1. Grupo de Trabajo de GesEPOC. Gui´a de Pra´ctica Cli´nica para el Diagno´stico y Tratamiento de Pacientes con Enfermedad Pulmonar Obstructiva Cro´nica (EPOC) - Gui´a Espan~ola de la EPOC (GesEPOC). Versio´n 2017. Arch Bronconeumol. 2017 [acceso: 13/01/2020]; 53(Supl 1):2-64. Disponible en: https://www.archbronconeumol.org/es-guia-espanola-enfermedad-pulmonar-obstructiva-articulo-S0300289617300844

  2. Soler Cataluña J, Martínez García M. Factores pronósticos en la EPOC. Arch Bronconeumol. 2017 [acceso: 23/12/2019]; 43(12):680-91. Disponible en: https://www.archbronconeumol.org/es-factores-pronosticos-epoc-articulo-13112967

  3. Arancibia HF, Ugarte US, Saldias PF. Consenso chileno de ventilación no invasiva III. Ventilación no invasiva en pacientes con enfermedades pulmonares obstructivas. Rev Chil Enf Respir. 2008[acceso: 12/11/2019]; 24(3):185-91. Disponible en: https://scielo.conicyt.cl/pdf/rcher/v24n3/art03.pdf

  4. Navarro Rodríguez Z, Torres Maceo JM, Romero García LI, Ortiz Zamora C. Factores predictivos de fracaso de la ventilación no invasiva en la enfermedad pulmonar obstructiva exacerbada. Rev Cub Med Int Emerg. 2017 [acceso: 27/12/2019]; 16(4):93-103. Disponible en: https://www.medigraphic.com/pdfs/revcubmedinteme/cie-2017/cie174i.pdf

  5. Varón Andrés F. Predicción de fracaso en ventilación mecánica no invasiva en falla respiratoria en enfermedad pulmonar obstructiva crónica a grandes alturas. Acta Colombiana de Cuidado Intensivo. 2013 [acceso: 13/01/2020]; 13(1):12-17. Disponible en: https://www.researchgate.net/publication/274891326_

  6. Plant PK, Owen JL, Elliott MW. Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial. Lancet. 2000[acceso: 13/01/2020]; 355(9212):1931-935. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(00)02323-0/fulltext

  7. Fernández-Vivas M, González-Díaz G, Caturla-Such J, Delgado- Vílchez FJ, Serrano-Simón JM, Carrillo-Alcaraz A, et al. Utilización de la ventilación no invasiva en la insuficiencia respiratoria aguda. Estudio multicéntrico en unidades de cuidados intensivos. Med Intensiva. 2009 [acceso: 13/01/2020]; 33(4):153-60. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210-56912009000400001

  8. Suárez Domínguez R, Navarro Rodríguez Z, Lozada Mendoza Y. Caracterización de la ventilación no invasiva en pacientes con enfermedad pulmonar obstructiva crónica agudizada. Medisan. 2015 [acceso: 12/11/2019]; 19(9):1088-1095. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192015000900003

  9. Navarro Rodríguez Z, Pacheco Quiñones M, Rodríguez Fernández A, Cohello Acosta R, Torres Maceo JM. Factores pronósticos del éxito de la ventilación mecánica no invasiva en la insuficiencia respiratoria aguda. Medisan. 2014 [acceso: 23/12/2019]; 18(1):68. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192014000100010

  10. Rodríguez Pérez I, Navarro Rodríguez Z, Romero García LI. Evolución de los pacientes con insuficiencia respiratoria aguda tratados con ventilación no invasiva. Rev Cub Med Int Emerg. 2017 [acceso: 23/12/2019]; 16(3):41-8. Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/41-48/html_113

  11. Cervera GR, Castillo Blanco A, Pérez Aizcorreta O, Parra Morais L. Ventilación mecánica no invasiva en la enfermedad pulmonar obstructiva crónica y en el edema agudo de pulmón cardiogénico. Med Intensiva. 2014 [acceso: 23/12/2019]; 38 (2):111-21. Disponible en: https://www.medintensiva.org/es-ventilacion-mecanica-no-invasiva-enfermedad-articulo-S0210569112003038

  12. Ram FS, Picot J, Lightowler J, Wedzicha JA. Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2004 [acceso: 23/12/2019]; 3:CD004104. Disponible en: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004104.pub2/full

  13. Confalonieri M, Garuti G, Cattaruzza MS. A chart of failure risk for noninvasive ventilation in patients with COPD exacerbation. Eur Respir J. 2005[acceso: 13/01/2020]; 25(2):348-55. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15684302

  14. Plant PK, Owen JL, Elliott MW. Non-invasive ventilation in acute exacerbations of chronic obstructive pulmonary disease: long term survival and predictors of in-hospital outcome. Thorax. 2001[acceso: 13/01/2020]; 56(9):708-12. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11514692

  15. Ambrosino N. Non-invasive mechanical ventilation in acute respiratory failure due to chronic obstructive pulmonary disease: correlates for success. Thorax. 1995[acceso: 9/01/2020]; 50(7):755-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/7570410

  16. Osadnik CR, Tee VS, Carson-Chahhoud KV, Picot J, Wedzicha JA, Smith BJ. Non-invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary disease. Cochrane Clinical Answers. 2017[acceso: 9/01/2020];7(7):cd004104. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28702957

  17. Moretti M, Cilione C, Tampieri A, Fracchia C, Marchioni A, Nava S. Incidence and causes of non-invasive mechanical ventilation failure after initial success. Thorax. 2000 [acceso: 9/01/2020]; 55(10):819-25. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/10992532

  18. Antonelli M, Conti G. Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients. Crit Care.2000 [acceso: 13/01/2020]; 4(1):15-22. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC137248/

  19. Torres Maceo JM, Ortiz Zamora C, Navarro Rodríguez Z. Ventilación mecánica no invasiva en pacientes con enfermedad pulmonar obstructiva crónica agudizada. Medisan. 2015 [acceso: 13/01/2020]; 18(9):1088. Disponible en: http://www.medisan.sld.cu/index.php/san/article/view/473

  20. Duiverman ML, Maagh P, Magnet FS, Schmoor C, Arellano-Maric MP, Meissner A. Impact of high-intensity-NIV on the heart in stable COPD: a randomised cross-over pilot study. Respir Res. 2017 [acceso: 13/01/2020]; 18(1):76. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28464911




2020     |     www.medigraphic.com