Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
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Use of noninvasive ventilation (NIV) outside guideline recommendations is common. We audited use of NIV in our tertiary care critical care unit (CCU) to evaluate appropriateness of use and patient outcomes when used outside level I recommendations. ⋯ Noninvasive ventilation failure and mortality rates were significantly higher when used outside level I recommendations. APACHE II score, baseline PaCO2 and duration on NIV prior to intubation were predictors of increased mortality.
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Indian J Crit Care Med · Aug 2014
Compliance versus dead space for optimum positive end expiratory pressure determination in acute respiratory distress syndrome.
To Compare compliance versus dead space (Vd) targeted positive end-expiratory pressure (PEEP) as regard its effect on lung mechanics and oxygenation. ⋯ Vd guided PEEP improved compliance and oxygenation with less Ppl. Hence, its use as a guide for best PEEP determination may be useful.