Noninvasive positive pressure ventilation in chronic obstructive pulmonary disease and respiratory failure 83 cases care.doc

 PAGE \* MERGEFORMAT 8 Noninvasive positive pressure ventilation in chronic obstructive pulmonary disease and respiratory failure 83 cases care August 2007 -2009 in July, my Department in the treatment of noninvasive positive pressure ventilation and 83 patients with respiratory failure in patients with COPD, and to give a positive intervention, results were satisfactory, nursing now reported as follows. 1 Materials and Methods The clinical data of 1.1 Respiratory 83 patients treated, 64 cases of male and 19 females, aged 28-86 years old. (59.6 + -5.5 years old. All patients are in line with the Chinese Medical Association will be developed respiratory disease COPD diagnosis and treatment of credit guide. [1 ] 1.2 Methods All patients were anti-infection, asthma, expectorant and other conventional treatment on the basis of application of BiPAP ventilator treatment at the same time. Parametric design: synchronization / time (S / T model, respiratory rate 10-14 beats / min, inspiratory pressure (IPAP from 4cmH2O began to gradually increase to 8-14cmH2O, to patient tolerance is appropriate. expiratory pressure (EPAP as 3cmH2O, oxygen concentration of 35% -40%. close observation of the conscious patients before and after mechanical ventilation, arterial blood gas, oxygen partial pressure, carbon dioxide partial pressure, respiratory rate, heart rate, oxygen saturation, and other indicators of change. 2 Results After treatment, 80 patients ventilated respiratory rate and heart rate decreased in varying degrees, difficulty breathing, cyanosis reduced symptoms significantly improved. Among them, 67 patients before treatment with mild confusion, drowsiness, consciousness transferred through ventilation treatment clear. Only 5 patients blood gas analysis 24 hours after treatment, respiratory rate, heart rate showed no improvement, and into ICU for further treatment. 3 nursing 3.1 Some patients are unwilling to accept psychological ca