Effects of Noninvasive Mechanical Ventilation in COVID-19 Patients

Year 2023, Volume: 12 Issue: 2, 534 - 540, 18.06.2023

Yesim Yaman Aktaş , Neziha Karabulut , Sedanur Çatal , Hatice Oğuzhan

https://doi.org/10.37989/gumussagbil.1228533

Abstract

The aim of this study was to examine the results of NIMV applied with a full face mask in COVID-19 patients. A descriptive and cross-sectional study. The study was conducted in the 1st level COVID-19 Intensive Care Unit of a university training and research hospital between August 15 and November 15, 2021. The study included 31 critical care patients who agreed to participate in the study and met the sampling criteria. The data was collected by the third researcher using the questionnaire based on the literature. The mean age of patients was 68.90±9.97 (41-82) years. In the measurements before NIMV, after the first application and after 24-h, a statistically significant difference was found between measurements in terms of SpO2 scores (p<0.001). In venous blood gas measurements before and 24-h after NIMV, a statistically significant difference was found between the measurements in terms of PCO2 scores (p<0.05). The study findings showed that NIMV was effective in terms of SpO2 and venous PCO2 scores in COVID-19 patients. It can be used as an effective option in the management of acute hypoxemic respiratory failure in COVID-19 patients.

Keywords

COVID-19, noninvasive mechanical ventilation, critical care, patient

COVID-19 Hastalarında Noninvazif Mekanik Ventilasyonun Etkileri

Abstract

Bu çalışmanın amacı, COVID-19 hastalarında tam yüz maskesi ile uygulanan NIMV sonuçlarının incelenmesidir. Tanımlayıcı ve kesitsel bir çalışmadır. Bu çalışma bir üniversite eğitim ve araştırma hastanesinin 1. basamak COVID-19 Yoğun Bakım Ünitesinde 15 Ağustos-15 Kasım 2021 tarihleri arasında yapıldı. Araştırmanın örneklemini araştırmaya katılmayı kabul eden ve örneklem kriterlerine uyan 31 yoğun bakım hastası oluşturdu. Veriler literatür doğrultusunda hazırlanan anket kullanılarak üçüncü araştırmacı tarafından toplandı. Bulgular: Hastaların yaş ortalaması 68.90±9.97 (41-82) idi. NIMV öncesi, ilk uygulama sonrası ve 24 saat sonra yapılan ölçümlerde SpO2 skorları açısından ölçümler arasında istatistiksel olarak anlamlı fark bulundu (p<0.001). NIMV öncesi ve 24 saat sonra venöz kan gazı ölçümlerinde PCO2 skorları açısından ölçümler arasında istatistiksel olarak anlamlı fark bulundu (p<0.05). Çalışma bulguları, NIMV'nin COVID-19 hastalarında SpO2 ve venöz PCO2 skorları açısından etkili olduğunu göstermiştir. COVID-19 hastalarında akut hipoksemik solunum yetmezliğinin tedavisinde etkili bir seçenek olarak kullanılabilir.

Keywords

COVID-19, noninvazif mekanik ventilasyon, yoğun bakım, hasta

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