Transition of treatment with noninvasive positive pressure ventilation in the intensive care unit

Abstract

Objectives: Noninvasive positive pressure ventilation (NPPV) is being increasingly used in the treatment of acute respiratory failure. We analyzed the therapeutic efficacy of NPPV in our ICU. Methods: The cases of NPPV treatment from 1992 to 2004 were analyzed to retrospective. We investigated the number of cases, successful rate and ICU mortality from the medical record. Results: The total number of NPPV treatment was 607 examples. The whole NPPV successful rate was 80%, and it was very as high as 84% and 95% especially for latest two years. Most illness to which treatment was carried out by NPPV were acute cardiogenic pulmonary edema. The successful rate of acute lung injury/acute respiratory distress syndrome was significantly lower than that of other diseases. Conclusions: The therapeutic efficacy of NPPV is fully demonstrated by being carried out at the suitable stage for a suitable case.