• Resp Care · Sep 2012

    Nasal versus oronasal mask in home mechanical ventilation: the preference of patients as a strategy for choosing the interface.

    • Gemma Rubinos, Ana Pando, Rosa Galindo, Francisco Rodríguez, Francisco Lopez, and Isidro Gonzalez.
    • Servicio de Neumologia, Hospital Universitario Central de Asturias, Facultad de Medicina Universidad de Oviedo, Oviedo, Asturias, Spain. enelllano@gmail.com
    • Resp Care. 2012 Sep 1;57(9):1413-7.

    IntroductionIn home mechanical ventilation (HMV), the mask is a key factor for patient comfort and therapeutic adherence. There is no evidence on the best strategy for choosing the mask in HMV.ObjectiveTo explore patient preference when prescribing the mask for HMV treatment and assess its relationship with effectiveness.MethodsA prospective study with repeated measures in stable patients receiving home nocturnal ventilation. Alternating oronasal mask (ONM) and nasal mask (NM) were tested in day and overnight sessions, with arterial blood gas measured and S(pO(2)) monitored. At the end of each evening session, patients rated interface comfort using a visual analog scale. At 3 months we evaluated adherence and effectiveness of the treatment.ResultsTwenty-nine subjects (mean ± SD age 65 ± 13 y, 44% male) completed the study. Initial functional values were P(CO(2)) 57.4 ± 5.2 mm Hg and time with S(pO(2)) < 90% (T90) 81.5 ± 9.5%. Both ONM and NM significantly decreased P(CO(2)) and T90. Over a third (38%) of our subjects preferred ONM, while NM was deemed more comfortable in general. At 3 months, effectiveness and adherence showed no differences between those treated with NM or ONM.ConclusionsPatient choice is an effective criterion for selecting the interface in HMV treatment.Copyright 2012 Daedalus Enterprises

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…