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. |
|---|---|
| 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 |
| _version_ | 1869977590794551296 |
|---|---|
| author | Romano, Ana |
| author2 | Sousa, Joana |
| author2_role | author |
| author_facet | Romano, Ana Sousa, Joana |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Romano, Ana\"},{\"Person.name\":\"Sousa, Joana\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Romano, Ana Sousa, Joana |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Life and Healthcare Sciences |
| datacite.titles.title.fl_str_mv | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure Selección de la mascarilla al inicio de la Ventilación Mecánica No Invasiva para pacientes con insuficiencia respiratoria aguda Seleção da máscara no início da Ventilação Mecânica Não Invasiva ao doente com insuficiência respiratória aguda |
| dc.creator.none.fl_str_mv | Romano, Ana Sousa, Joana |
| dc.description.none.fl_str_mv | Introducción: la ventilación mecánica no invasiva (VMNI) consiste en la aplicación de presión positiva a las vías respiratorias a través de una mascarilla/interfaz. Las intervenciones de enfermería en los pacientes sometidos a VMNI son cruciales para el bienestar del paciente y el éxito de la técnica, especialmente la elección y adecuación de la mascarilla. Objetivo: Formar al equipo de enfermería en la selección de la mascarilla más adecuada para pacientes con ITR al inicio de la VMNI en un centro médico; comparar el rendimiento del uso de la MON (mascarilla oro-nasal) y la MFT (mascarilla facial completa) durante 24 horas de VMNI. Métodos: Se realizó un estudio cuantitativo prospectivo experimental. Para recoger los datos, se envió un cuestionario al personal de enfermería sobre los cuidados de enfermería a los pacientes sometidos a VMNI. Para analizar el contenido, se recogieron datos sobre los valores de gases en sangre en pacientes sometidos a VMNI en los años 2021-2022. Resultados: Se observó que las variaciones más pronunciadas se produjeron en el uso de la MFT en la IRA hipercapnia, con una tasa de variación del 85,7% al 85,0% de la MON en el pH, y del 78,6% (MFT) al 70,0% (MON) en la PaCO2, demostrando variaciones altamente significativas estadísticamente (p<0,01). Conclusión: La MFT es más adecuada para iniciar la VMNI en pacientes con IRA hipercapnia, en comparación con la MON. La formación continuada favorece la actualización de conocimientos y la mejora de la atención a los pacientes sometidos a VMNI. Introdução: A Ventilação Mecânica Não Invasiva (VMNI) pressupõe um suporte ventilatório que consiste na aplicação de uma pressão positiva nas vias aéreas através de uma máscara/interface. As intervenções de Enfermagem ao doente sob VMNI são determinantes para o bem-estar do doente e para o sucesso da técnica, nomeadamente a escolha e adequação da máscara. Objetivo: Capacitar a equipa de Enfermagem relativamente à seleção da máscara mais adequada ao doente com IR no início da VMNI, num serviço de medicina; comparar o desempenho do uso entre as MON (máscara oro-nasal) e MFT (máscara facial-total) nas 24 horas de VMNI. Métodos: Realizou-se um estudo quantitativo prospetivo experimental. Para colheita de dados foi submetido um questionário aos enfermeiros sobre os cuidados de enfermagem ao doente sob VMNI. Para análise dos conteúdos, foram recolhidos dados relativos aos valores de gasometria, em doentes submetidos a VMNI, nos anos de 2021-2022. Resultados: Constatou-se que as variações mais pronunciadas ocorreram na utilização da MFT na IRA hipercápnica, com uma taxa de variação de 85,7% da MFT para 85,0% da MON no pH; e de 78,6% (MFT) para 70,0% (MON) na variável PaCO2, demonstrando variações estatisticamente muito significativas (p<0,01). Conclusão: A MFT é a mais adequada para o início da VMNI em doentes com IRA hipercápnica, em comparação com a MON. A formação em serviço promove a atualização de conhecimentos e melhoria da prestação de cuidados aos doentes sob VMNI. Palavras-chave: ventilação mecânica não invasiva; enfermeiro especialista; insuficiência respiratória aguda; máscara oro-nasal; máscara facial total |
| dc.identifier.none.fl_str_mv | https://doi.org/10.29352/mill0218e.38038 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Polytechnic Institute of Viseu (IPV) |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Life and Healthcare Sciences |
| dc.title.fl_str_mv | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure Selección de la mascarilla al inicio de la Ventilación Mecánica No Invasiva para pacientes con insuficiencia respiratoria aguda Seleção da máscara no início da Ventilação Mecânica Não Invasiva ao doente com insuficiência respiratória aguda |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| id | millenium_df10b5320441d323f5859beb479a5c5d |
| identifier.doi.fl_str_mv | https://doi.org/10.29352/mill0218e.38038 |
| inst_facet_str | urn:organizationAcronym:ipv{{{_:::_}}}Instituto Politécnico de Viseu |
| instacron_str | ipv |
| institution | Instituto Politécnico de Viseu |
| instname_str | Instituto Politécnico de Viseu |
| language | eng |
| network_acronym_str | millenium |
| network_name_str | Millenium |
| oai_identifier_str | oai:ojs.revistas.rcaap.pt:article/38038 |
| organization_str_mv | urn:organizationAcronym:ipv |
| person_str_mv | Romano, Ana Sousa, Joana |
| publishDate | 2025 |
| publisher.none.fl_str_mv | Polytechnic Institute of Viseu (IPV) |
| repo_facet_str | urn:repositoryAcronym:millenium{{{_:::_}}}Millenium |
| reponame_str | Millenium |
| repository_id_str | urn:repositoryAcronym:millenium |
| service_str_mv | urn:repositoryAcronym:millenium |
| spelling | Polytechnic Institute of Viseu (IPV)enIntroduction: 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.esIntroducción: la ventilación mecánica no invasiva (VMNI) consiste en la aplicación de presión positiva a las vías respiratorias a través de una mascarilla/interfaz. Las intervenciones de enfermería en los pacientes sometidos a VMNI son cruciales para el bienestar del paciente y el éxito de la técnica, especialmente la elección y adecuación de la mascarilla. Objetivo: Formar al equipo de enfermería en la selección de la mascarilla más adecuada para pacientes con ITR al inicio de la VMNI en un centro médico; comparar el rendimiento del uso de la MON (mascarilla oro-nasal) y la MFT (mascarilla facial completa) durante 24 horas de VMNI. Métodos: Se realizó un estudio cuantitativo prospectivo experimental. Para recoger los datos, se envió un cuestionario al personal de enfermería sobre los cuidados de enfermería a los pacientes sometidos a VMNI. Para analizar el contenido, se recogieron datos sobre los valores de gases en sangre en pacientes sometidos a VMNI en los años 2021-2022. Resultados: Se observó que las variaciones más pronunciadas se produjeron en el uso de la MFT en la IRA hipercapnia, con una tasa de variación del 85,7% al 85,0% de la MON en el pH, y del 78,6% (MFT) al 70,0% (MON) en la PaCO2, demostrando variaciones altamente significativas estadísticamente (p<0,01). Conclusión: La MFT es más adecuada para iniciar la VMNI en pacientes con IRA hipercapnia, en comparación con la MON. La formación continuada favorece la actualización de conocimientos y la mejora de la atención a los pacientes sometidos a VMNI.ptIntrodução: A Ventilação Mecânica Não Invasiva (VMNI) pressupõe um suporte ventilatório que consiste na aplicação de uma pressão positiva nas vias aéreas através de uma máscara/interface. As intervenções de Enfermagem ao doente sob VMNI são determinantes para o bem-estar do doente e para o sucesso da técnica, nomeadamente a escolha e adequação da máscara. Objetivo: Capacitar a equipa de Enfermagem relativamente à seleção da máscara mais adequada ao doente com IR no início da VMNI, num serviço de medicina; comparar o desempenho do uso entre as MON (máscara oro-nasal) e MFT (máscara facial-total) nas 24 horas de VMNI. Métodos: Realizou-se um estudo quantitativo prospetivo experimental. Para colheita de dados foi submetido um questionário aos enfermeiros sobre os cuidados de enfermagem ao doente sob VMNI. Para análise dos conteúdos, foram recolhidos dados relativos aos valores de gasometria, em doentes submetidos a VMNI, nos anos de 2021-2022. Resultados: Constatou-se que as variações mais pronunciadas ocorreram na utilização da MFT na IRA hipercápnica, com uma taxa de variação de 85,7% da MFT para 85,0% da MON no pH; e de 78,6% (MFT) para 70,0% (MON) na variável PaCO2, demonstrando variações estatisticamente muito significativas (p<0,01). Conclusão: A MFT é a mais adequada para o início da VMNI em doentes com IRA hipercápnica, em comparação com a MON. A formação em serviço promove a atualização de conhecimentos e melhoria da prestação de cuidados aos doentes sob VMNI. Palavras-chave: ventilação mecânica não invasiva; enfermeiro especialista; insuficiência respiratória aguda; máscara oro-nasal; máscara facial totalengenMask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failureesSelección de la mascarilla al inicio de la Ventilación Mecánica No Invasiva para pacientes con insuficiencia respiratoria agudaTranslatedTitleptSeleção da máscara no início da Ventilação Mecânica Não Invasiva ao doente com insuficiência respiratória agudaTranslatedTitleRomano, AnaRomanoAnaUnidade Local de Saúde de Castelo Branco, Castelo Branco, Portugalorcid0009-0006-6888-0659Sousa, JoanaSousaJoanaInstituto Politécnico de Leiria, Leiria, Portugal | Center for Innovative Care and Health Technology (ciTechCare), Leiria, Portugalorcid0000-0001-5515-0696EISSN1647-662XIsPartOfPISSN0873-3015IsPartOf2025-07-22DOIhttps://doi.org/10.29352/mill0218e.38038http://purl.org/coar/access_right/c_abf2open accessLife and Healthcare Scienceshttp://purl.org/coar/resource_type/c_6501journal articlehttp://creativecommons.org/licenses/by/4.02025-07-22fulltextapplication/pdfMillenium - Journal of Education, Technologies, and Health18e |
| spellingShingle | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure Romano, Ana Life and Healthcare Sciences |
| status | SINGLETON |
| subject.fl_str_mv | Life and Healthcare Sciences |
| title | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_full | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_fullStr | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_full_unstemmed | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_short | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| title_sort | Mask selection at the beginning of Non-Invasive Mechanical Ventilation for patients with acute respiratory failure |
| topic | Life and Healthcare Sciences |
| topic_facet | Life and Healthcare Sciences |
| url | https://doi.org/10.29352/mill0218e.38038 |
| visible | 1 |