Non-invasive ventilation in patients hospitalized in internal medicine services: A retrospective study
DOI:
https://doi.org/10.12707/RVI23.95.32475Keywords:
noninvasive ventilation, complications, risk factors, patient safetyAbstract
Background: Non-invasive ventilation is a therapeutic strategy for patients with acute respiratory failure.
Objective: To analyze the relationship between the sociodemographic and clinical variables of patients hospitalized in internal medicine services and the adaptation to and complications of non-invasive ventilation.
Methodology: A retrospective observational cohort study was carried out with a sample of 239 patients.
Data were collected from electronic records in the information system SClínico, using a data extraction guide.
Results: A total of 25.1% of the participants did not adapt to non-invasive ventilation, and this was significantly associated with oral feeding, confusion, and the use of mechanical restraint measures.
Complications occurred in 33.5% of the sample. The most frequent complications were secretions, nasal injuries, and vomiting. There was a statistically significant association between the number of complications and patients fed by nasogastric tube, confused, with mechanical restraint measures, and wearing an oronasal mask.
Conclusion: The monitoring of patients on non-invasive ventilation should be carried out by a specialized nursing team. Protocols should be implemented to prevent complications and promote patient adaptation to non-invasive ventilation.
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References
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