Publicação
Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure
| Resumo: | Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask. Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV. Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022. Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01). Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV. Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask. Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV. Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022. Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01). Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV. |
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| Autores principais: | Romano, Ana |
| Outros Autores: | Sousa, Joana |
| Assunto: | Life and Healthcare Sciences |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Viseu |
| Idioma: | inglês |
| Origem: | Millenium |
| Resumo: | Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask. Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV. Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022. Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01). Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV. Introduction: Non-Invasive Mechanical Ventilation (NIMV) involves ventilatory support consisting of applying positive pressure to the airways via a mask/interface. Nursing interventions for patients under NIMV are crucial to the patient's well-being and the success of the technique, particularly the choice and suitability of the mask. Objective: To train the nursing team in the selection of the most appropriate mask for patients with IR at the start of NIMV in a medical service; to compare the performance of use between MON (oro-nasal mask) and MFT (total face mask) during 24 hours of NIMV. Methods: An experimental prospective quantitative study was carried out. To collect data, a questionnaire was sent to nurses about nursing care for patients under NIMV. For content analysis, data were collected on blood gas values in patients undergoing NIMV in the years 2021-2022. Results: It was found that the most pronounced variations occurred in the use of MFT in hypercapnic ARF, with a variation rate from 85.7% to 85.0% of MON in pH, and from 78.6% (MFT) to 70.0% (MON) in PaCO2, demonstrating statistically very significant variations (p<0.01). Conclusion: MFT is more suitable for starting NIV in patients with hypercapnic ARF, compared to MON. In-service training promotes the updating of knowledge and the improvement of care for patients under NIMV. |
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