Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure

Killen Harold Briones Claudett; Antonio Esquinas Rodriguez; Mónica H. Briones Claudett; Miguel Puga Tejada; Mariuxi del Pilar Cabrera Bańos; Jorge Daher N.; Byron Bermeo; Michelle Grunauer

eISSN: 1731-2515
ISSN: 0209-1712

Anestezjologia Intensywna Terapia

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Original paper

Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure

Killen Harold Briones Claudett

^{1, 2}

,

Antonio Esquinas Rodriguez

³

,

Mónica H. Briones Claudett

^{2, 4}

,

Miguel Puga Tejada

²

,

Mariuxi del Pilar Cabrera Bańos

⁵

,

Jorge Daher N.

¹

,

Byron Bermeo

⁶

,

Michelle Grunauer

⁷

Faculty of Medical Sciences, University of Guayaquil, Guayaquil, Ecuador
Physiological-Respiratory Center, Briones-Claudett, Guayaquil, Ecuador
Intensive Care Unit, Morales Masaguer, Murcia, Spain
Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador
Intensive Care Unit, Santa Maria Clinic, Guayaquil, Ecuador
National Thorax Institute, Santiago de Chile, Chile
School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador

Anestezjologia Intensywna Terapia 2021; 53, 5: 404–411

Online publish date: 2021/12/30

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AMA

Briones Claudett K, Esquinas Rodriguez A, Briones Claudett M, et al. Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure. Anestezjologia Intensywna Terapia. 2021:404-411.

APA

Briones Claudett, K., Esquinas Rodriguez, A., Briones Claudett, M., Puga Tejada, M., Cabrera Bańos, M.,  & Daher N., J. et al. (2021). Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure. Anestezjologia Intensywna Terapia, 404-411.

Chicago

Briones Claudett, Killen Harold, Antonio Esquinas Rodriguez, Mónica H. Briones Claudett, Miguel Puga Tejada, Mariuxi del Pilar Cabrera Bańos, Jorge Daher N.,  and Byron Bermeo et al. 2021. "Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure". Anestezjologia Intensywna Terapia: 404-411.

Harvard

Briones Claudett, K., Esquinas Rodriguez, A., Briones Claudett, M., Puga Tejada, M., Cabrera Bańos, M., Daher N., J., Bermeo, B.,  and Grunauer, M. (2021). Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure. Anestezjologia Intensywna Terapia, pp.404-411.

MLA

Briones Claudett, Killen Harold et al. "Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure." Anestezjologia Intensywna Terapia, 2021, pp. 404-411.

Vancouver

Briones Claudett K, Esquinas Rodriguez A, Briones Claudett M, Puga Tejada M, Cabrera Bańos M, Daher N. J et al. Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure. Anestezjologia Intensywna Terapia. 2021:404-411.

Introduction
Until now, the ventilatory strategy with BiPAP S/T plus average volume-assured pressure support (AVAPS) has not been evaluated for its use in the different types of acute respiratory failure (ARF). Consequently we report the results of the use of this ventilatory strategy in these clinical scenarios.

Material and methods
This is a single-centre prospective study. The subjects were categorised according to the type of ARF: (1) hypercapnic ARF: chronic obstructive pulmonary disease and bronchial asthma; and (2) hypoxaemic ARF: pneumonia, acute respiratory distress syndrome, congestive heart failure, and interstitial lung disease. Multiple logistic regression was used to determine predictors of non-invasive mechanical ventilation (NIV) failure (intubation). Further, in a subgroup of patients with de novo hypoxaemic ARF, analysis of variances with repeated measures was used to determine factors associated with NIV outcome.

Results
Sixty-eight subjects were included in this study. The NIV success rate was 69.1% and the mortality rate was 20.6%. A multivariate analysis showed that the number of affected lung quadrants on chest X-ray (OR: 4.23, 95% CI: 4.17–4.31; P < 0.001) and ARF precipitating disease (OR: 4.46, 95% CI: 4.43–4.51; P < 0.001) were determinants of NIV failure. In the hypoxaemic ARF subgroup (n = 58), significant differences in several parameters were found between patients with positive and negative outcomes.

Conclusions
The use of BiPAP S/T – AVAPS in subjects with hypercapnic ARF is associated with a better outcome than in those with de novo hypoxaemic ARF.

keywords:

non-invasive mechanic ventilation, volume-guaranteed ventilation, acute respiratory failure, chronic obstructive pulmonary disease, hypercapnic acute respiratory failure

Non-invasive mechanical ventilation with average volume-assured pressure support. Results according to the aetiology of acute respiratory failure

Killen Harold Briones Claudett 1, 2 , Antonio Esquinas Rodriguez 3 , Mónica H. Briones Claudett 2, 4 , Miguel Puga Tejada 2 , Mariuxi del Pilar Cabrera Bańos 5 , Jorge Daher N. 1 , Byron Bermeo 6 , Michelle Grunauer 7

non-invasive mechanic ventilation, volume-guaranteed ventilation, acute respiratory failure, chronic obstructive pulmonary disease, hypercapnic acute respiratory failure

Killen Harold Briones Claudett

^{1, 2}

,

Antonio Esquinas Rodriguez

³

,

Mónica H. Briones Claudett

^{2, 4}

,

Miguel Puga Tejada

²

,

Mariuxi del Pilar Cabrera Bańos

⁵

,

Jorge Daher N.

¹

,

Byron Bermeo

⁶

,

Michelle Grunauer

⁷