Outcomes of patients with acute respiratory failure after abdominal surgery treated with noninvasive positive pressure ventilation.

@article{Jaber2005OutcomesOP,
  title={Outcomes of patients with acute respiratory failure after abdominal surgery treated with noninvasive positive pressure ventilation.},
  author={Samir Jaber and J. M. Delay and G{\'e}rald Chanques and Mustapha Sebbane and Eric Jacquet and Bruno Souche and Pierre François Perrigault and Jean J. Eledjam},
  journal={Chest},
  year={2005},
  volume={128 4},
  pages={
          2688-95
        }
}
OBJECTIVES Little is known about the physiologic and clinical effects of noninvasive positive pressure ventilation (NPPV) in patients who have acute respiratory failure (ARF) after abdominal surgery. We evaluated our clinical experience with the use of NPPV in the treatment of ARF after abdominal surgery. METHODS We prospectively evaluated NPPV use during a 2-year period in a medical-surgical ICU of a university hospital. We documented demographic and diagnostic data, gas exchange, and… 
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NIV could be considered in postoperative patients who presented with ARF and nosocomial pneumonia is predictive of NIV failure, and was associated with a reduced ICU stay.

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Non-invasive ventilation may be an alternative to conventional ventilation in surgical patients with acute respiratory failure and use of NIV may avoid re-intubation in patients who develop respiratory failure after intubation.

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Effect of Noninvasive Ventilation on Tracheal Reintubation Among Patients With Hypoxemic Respiratory Failure Following Abdominal Surgery: A Randomized Clinical Trial.

Among patients with hypoxemic respiratory failure following abdominal surgery, use of NIV compared with standard oxygen therapy reduced the risk of tracheal reintubation within 7 days, and these findings support use ofNIV in this setting.

Noninvasive positive pressure ventilation in the acute care setting: where are we?

Strong evidence supports the use of NPPV for ARF to prevent endotracheal intubation (ETI), as well as to facilitate extubation in patients with acute exacerbations of chronic obstructive pulmonary disease and to avoid ETI in acute cardiogenic pulmonary oedema, and in immunocompromised patients.

Noninvasive Ventilation in Withdrawal from Mechanical Ventilation

Both continuous positive airway pressure and NIV can improve clinical outcomes in patients with postoperative acute respiratory failure, particularly abdominal and thoracic surgery.

Postoperative prophylactic intermittent noninvasive ventilation versus usual postoperative care for patients at high risk of pulmonary complications: a multicentre randomised trial.

Noninvasive ventilation improves the outcome of pulmonary complications after liver resection.

NIV is effective in patients with respiratory failure and/or massive atelectasis after liver resection, and NIV was tolerated in all 16 NIV group patients, and no severe NIV-related complications were observed.

Noninvasive Ventilation for Patients with Hypoxemic Acute Respiratory Failure

Noninvasive ventilation has an established efficacy to improve gas exchange and reduce the work of breathing in patients with hypoxemic acute respiratory failure and the preventive use of NIV seems promising in this setting but needs more research.
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