Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure
DOI:
https://doi.org/10.29352/mill0218e.38038Keywords:
non-invasive mechanical ventilation; nurse specialist; acute respiratory failure; oro-nasal mask; full face maskAbstract
Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask.
Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV.
Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022.
Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01).
Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV.
Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask.
Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV.
Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022.
Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01).
Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV.
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