Noninvasive Ventilation to Reduce Perioperative Mortality


Clinical summary

Technique

Indications

Cautions

Side effects

Dosage

Notes

Noninvasive ventilation

Postoperative acute respiratory failure

Failure of NIV therapy can be considered the worse complication due to the risk of prolonged time to intubation and should be early detected

Major complications (uncommon): barotrauma and hemodynamic effects. Minor complication (common after prolonged use): aspiration risk, arm edema, deep venous thrombosis, discomfort, facial skin lesions, nasal or oral dryness, nasal congestion, and gastric insufflations

Progressive increase in pressure support and PEEP level to relieve dyspnea and improve gas exchange

Evidences of survival benefits come from lung resection surgery [16], liver resection surgery [24], and solid organ transplantation [26]


NIV Noninvasive ventilation; PEEP positive end expiratory pressure





References



1.

Pearse RM, Moreno RP, Bauer P et al (2012) European Surgical Outcomes Study (EuSOS) group for the trials groups of the European Society of Intensive Care Medicine and the European Society of Anaesthesiology. Mortality after surgery in Europe: a 7 day cohort study. Lancet 380:1059–1065PubMedCrossRef


2.

Haynes AB, Weiser TG, Berry WR et al (2001) Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 20:102–107CrossRef


3.

Ghaferi AA, Birkmeyer JD, Dimick JB (2009) Variation in hospital mortality associated with inpatient surgery. N Engl J Med 361:1368–1375PubMedCrossRef


4.

Peñuelas O, Frutos-Vivar F, Esteban A (2007) Noninvasive positive-pressure ventilation in acute respiratory failure. CMAJ 177:1211–1218PubMedCrossRef


5.

Rocco M, Conti G, Antonelli M et al (2001) Non-invasive pressure support ventilation in patients with acute respiratory failure after bilateral lung transplantation. Intensive Care Med 27:1622–1626PubMedCrossRef


6.

Hertzog JH, Siegel LB, Hauser GJ (1999) Noninvasive positive-pressure ventilation facilitates tracheal extubation after laryngotracheal reconstruction in children. Chest 116:260–263PubMedCrossRef


7.

Battisti A, Michotte JB, Tassaux D et al (2005) Non-invasive ventilation in the recovery room for postoperative respiratory failure: a feasibility study. Swiss Med Wkly 135:339–343PubMed


8.

Ferreyra G, Long Y, Ranieri VM (2009) Respiratory complications after major surgery. Curr Opin Crit Care 15:342–348PubMedCrossRef


9.

Jaber S, Chanques G, Jung B (2010) Postoperative noninvasive ventilation. Anesthesiology 112:453–461PubMedCrossRef

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Apr 6, 2017 | Posted by in CRITICAL CARE | Comments Off on Noninvasive Ventilation to Reduce Perioperative Mortality

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