Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study
Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchroniz...
Ausführliche Beschreibung
Autor*in: |
Salem, Shymaa Sayed [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2023 |
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Schlagwörter: |
Biphasic positive airway pressure |
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Anmerkung: |
© The Author(s) 2023 |
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Übergeordnetes Werk: |
Enthalten in: Egyptian journal of bronchology - Mumbai, India : Wolters Kluwer - Medknow Publications, 2013, 17(2023), 1 vom: 05. Mai |
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Übergeordnetes Werk: |
volume:17 ; year:2023 ; number:1 ; day:05 ; month:05 |
Links: |
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DOI / URN: |
10.1186/s43168-023-00188-4 |
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Katalog-ID: |
SPR050322311 |
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520 | |a Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. | ||
650 | 4 | |a Biphasic positive airway pressure |7 (dpeaa)DE-He213 | |
650 | 4 | |a Acute respiratory distress syndrome |7 (dpeaa)DE-He213 | |
650 | 4 | |a Mechanical ventilation |7 (dpeaa)DE-He213 | |
700 | 1 | |a Hussein, Khaled |4 aut | |
700 | 1 | |a Badawy, M. Sh. |4 aut | |
700 | 1 | |a Gad, Gad s |4 aut | |
700 | 1 | |a Rashad, Alaa |4 aut | |
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10.1186/s43168-023-00188-4 doi (DE-627)SPR050322311 (SPR)s43168-023-00188-4-e DE-627 ger DE-627 rakwb eng Salem, Shymaa Sayed verfasserin aut Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. Biphasic positive airway pressure (dpeaa)DE-He213 Acute respiratory distress syndrome (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Hussein, Khaled aut Badawy, M. Sh. aut Gad, Gad s aut Rashad, Alaa aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 17(2023), 1 vom: 05. Mai (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:17 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s43168-023-00188-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023 1 05 05 |
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10.1186/s43168-023-00188-4 doi (DE-627)SPR050322311 (SPR)s43168-023-00188-4-e DE-627 ger DE-627 rakwb eng Salem, Shymaa Sayed verfasserin aut Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. Biphasic positive airway pressure (dpeaa)DE-He213 Acute respiratory distress syndrome (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Hussein, Khaled aut Badawy, M. Sh. aut Gad, Gad s aut Rashad, Alaa aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 17(2023), 1 vom: 05. Mai (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:17 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s43168-023-00188-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023 1 05 05 |
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10.1186/s43168-023-00188-4 doi (DE-627)SPR050322311 (SPR)s43168-023-00188-4-e DE-627 ger DE-627 rakwb eng Salem, Shymaa Sayed verfasserin aut Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. Biphasic positive airway pressure (dpeaa)DE-He213 Acute respiratory distress syndrome (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Hussein, Khaled aut Badawy, M. Sh. aut Gad, Gad s aut Rashad, Alaa aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 17(2023), 1 vom: 05. Mai (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:17 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s43168-023-00188-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023 1 05 05 |
allfieldsGer |
10.1186/s43168-023-00188-4 doi (DE-627)SPR050322311 (SPR)s43168-023-00188-4-e DE-627 ger DE-627 rakwb eng Salem, Shymaa Sayed verfasserin aut Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. Biphasic positive airway pressure (dpeaa)DE-He213 Acute respiratory distress syndrome (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Hussein, Khaled aut Badawy, M. Sh. aut Gad, Gad s aut Rashad, Alaa aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 17(2023), 1 vom: 05. Mai (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:17 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s43168-023-00188-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023 1 05 05 |
allfieldsSound |
10.1186/s43168-023-00188-4 doi (DE-627)SPR050322311 (SPR)s43168-023-00188-4-e DE-627 ger DE-627 rakwb eng Salem, Shymaa Sayed verfasserin aut Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. Biphasic positive airway pressure (dpeaa)DE-He213 Acute respiratory distress syndrome (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Hussein, Khaled aut Badawy, M. Sh. aut Gad, Gad s aut Rashad, Alaa aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 17(2023), 1 vom: 05. Mai (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:17 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s43168-023-00188-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023 1 05 05 |
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Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study Biphasic positive airway pressure (dpeaa)DE-He213 Acute respiratory distress syndrome (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 |
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biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study |
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Biphasic positive airway pressure in the management of acute respiratory distress syndrome: a comparative study |
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Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. © The Author(s) 2023 |
abstractGer |
Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. © The Author(s) 2023 |
abstract_unstemmed |
Background Biphasic positive airway pressure, also known as BIPAP, is a type of pressure-controlled ventilation that permits unrestricted spontaneous breathing at any time during the ventilatory cycle. Our study’s objective was to compare BIPAP’s effects on ARDS patients with those of the synchronized intermittent mandatory ventilation with pressure control (SIMV-PC) mode. Results The present observational, cross-sectional study was conducted on 40 ARDS patients of both sex. These patients were admitted to the intensive care unit, at Qena University Hospital, from April 2019 to November 2021. They were categorized into two groups at random, with group (A) patients receiving BIPAP mode and group (B) patients receiving (SIMV-PC) mode. Changes in arterial blood gases, hemodynamics, and lung mechanics (mean airway pressure, minute volume, tidal volume, compliance, and pressure limit) were compared in both groups after 24 h. There were no differences in the baseline clinical data, demographic, hemodynamic, arterial blood gases, and mortality between the two groups. Follow-up data after 24 h showed that BIPAP was associated with better hemodynamics, oxygenation, and lung mechanics (mean airway pressure, minute volume, and tidal volume). Fewer days of sedation requirements and mechanical ventilation in BIPAP compared to SIMV PC during the duration of the study. Conclusions In ARDS patients, BIPAP can improve oxygenation, hemodynamics, lung mechanics, decrease sedation use, and decrease duration of mechanical ventilation. Trial registration BIPAP in the Management of Acute Respiratory Distress Syndrome, ID: NCT05483959 Retrospectivelyregistered,https://register.clinicaltrials.gov/prs/app/template/EditRecord.vm?epmode=View&listmode=Edit&uid=U0003OBB&ts=12&sid=S00078AY&cx=9n7oml. Registered on 1 August 2022. © The Author(s) 2023 |
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