Article: article from journal or magazin.
Perception of non-invasive ventilation in adult Swiss intensive care units.
Swiss Medical Weekly
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: epublish
The real utilisation scenario of non-invasive ventilation (NIV) in Swiss ICUs has never been reported. Using a survey methodology, we developed a questionnaire sent to the directors of the 79 adult ICUs to identify the perceived pattern of NIV utilisation. We obtained a response rate of 62%. The overall utilisation rate for NIV was 26% of all mechanical ventilations, but we found significant differences in the utilisation rates among different linguistic areas, ranging from 20% in the German part to 48% in the French part (p <0.01). NIV was mainly indicated for the acute exacerbations of COPD (AeCOPD), acute cardiogenic pulmonary edema (ACPE) and acute respiratory failure (ARF) in selected do-not-intubate patients. In ACPE, CPAP was much less used than bi-level ventilation and was still applied in AeCOPD. The first line interface was a facial mask (81%) and the preferred type of ventilator was an ICU machine with an NIV module (69%). The perceived use of NIV is generally high in Switzerland, but regional variations are remarkable. The indications of NIV use are in accordance with international guidelines. A high percentage of units consider selected do-not-intubate conditions as an important additional indication.
Acute Disease, Adult, Advance Directives, Attitude of Health Personnel, Continuous Positive Airway Pressure/utilization, Humans, Intensive Care Units/statistics & numerical data, Masks/utilization, Physician's Practice Patterns/statistics & numerical data, Pulmonary Disease, Chronic Obstructive/therapy, Pulmonary Edema/therapy, Questionnaires, Respiratory Insufficiency/therapy, Statistics, Nonparametric, Switzerland, Ventilators, Mechanical/utilization
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