A comparative study of continuous positive airway ... | 合法醫療器材資訊網

由MGunduz著作·2005·被引用191次—...leastasafirstlineoftreatmentforflailchestcausedbybluntthoracictrauma....andintermittentpositivepressureventilation(IPPV)inpatientswithflailchest.

Introduction: The role of non-invasive positive pressure ventilation delivered through a face mask in patients with flail chest is uncertain. We conducted a prospective, randomised study of continuous positive airway pressure (CPAP) given via a face mask to spontaneously breathing patients compared with intermittent positive pressure ventilation (IPPV) with endotracheal intubation (ETI) in 52 patients with flail chest who required mechanical ventilation.

Method: The 52 mechanically ventilated patients were randomly divided into two treatment groups: the ET group (n = 27) received mechanical ventilation with ETI, whereas patients in the CPAP group (n = 25) received CPAP via a face mask with patient controlled analgesia (PCA). Major complications, arterial blood gas levels, length of intensive care unit (ICU) stay and ICU survival rate were recorded.

Results: Nosocomial infection ...