Does early use of bilevel positive airway pressure (bipap) in cardiothoracic intensive care unit prevent reintubation?

International Journal of Clinical and Experimental Medicine

A Baysal¹  YA Karamustafaoğlu¹  YG Gül¹  M Dogukan¹  E Çopuroğlu¹  G Sağıroğlu¹ 

关键词: Non-invasive ventilaton;    bilevel positive airway pressure;    hypoxia;    postoperative complications;    reintubation;   

DOI  :  

学科分类：医学（综合）

来源: e-Century Publishing Corporation

【 摘 要 】

Introductıon: Non-invasive ventilation (NIV) is a preferred treatment in acute respiratory failure after operations. Our aim is to investigate the success of early use of bilevel positive airway pressure (BIPAP) after cardiac or thoracic surgeries to prevent reintubation. Methods: In a prospective randomized study, 254 patients were divided into two groups depending on the time period between extubation and the application of BIPAP. In Group 1 BIPAP was applied after extubation within 48 hours after surgery following fulfilling of acute respiratory failure criterias whereas, in Group 2, BIPAP was applied one hour after extubation for two episodes of 20 minute duration and 3 hours apart. Arterial blood gas values (pH, PaO₂, PaCO₂) at first and fourth hour after BIPAP were collected. Results: In comparison between groups, no significant differences were observed for arterial blood gas values of pH and PaCO₂ at baseline, one and four hours after BIPAP (p > 0.05) however, the PaO₂ values at one and four hours after BIPAP were significantly better in Group 1 in comparison to Group 2 (p < 0.001, p < 0.001; respectively). Reintubation rate was 14 patients (11%) in Group 1 and 7 patients (5.5%) in Group 2 (p = 0.103). Conclusıons: The early and prophylactic use of BIPAP after cardiac or thoracic operations did not provide diminished rates in the postoperative complications such as reintubation.

【 授权许可】

Unknown