Chest, Vol 100, 1371-1376, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Pressure support ventilation with a simplified ventilatory support system administered with a nasal mask in patients with respiratory failure

BE Pennock, PD Kaplan, BW Carlin, JS Sabangan and JA Magovern
Department of Medicine, Medical College of Pennsylvania, Allegheny General Hospital, Pittsburgh 15212.

Thirty-one consecutive patients with respiratory failure in whom treatment with intubation and mechanical ventilation was being strongly considered received alternative ventilatory support by means of a BiPAP ventilatory support system and nasal mask. Laboratory measurements and physical findings were documented before and 1 h after initiation of support. This support improved patient comfort, slowed respiratory rate, and improved oxygenation. Support lasted from 2 h to six days. Seventy-six percent (22/29) of patients recovered from this episode of respiratory failure, avoiding alternative mechanical ventilatory support. There were no complications associated with aspiration, gastric distention, or acute separation from support.

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