Resumen

The purpose of this study is to determine whether the noninvasive ventilation is more effective in the treatment of severe comunity acquired pneumonia in comparison with the conventional mechanical ventilation with orotracheal intubation.

Elegibilidad

Edad mínima: 18 YearsEdad máxima: 80 YearsSexo: ALL

Criterios de inclusión

The criteria for the diagnosis of SCAP included:
Blood systolic pressure lower than 90 mmHg or blood diastolic pressure lower than 60 mmHg
RR higher than 30 breaths per minute
PaO2/FiO2 lower than 250 while breathing through a Venturi mask with a 50% inspired oxygen fraction (FiO2)
Bilateral or multiple lobar infiltrations evidenced by thorax X-ray, and
Use of vasopressor drugs

Criterios de exclusión

COPD
Asthma
Acute cardiogenic pulmonary edema
Severe haemodynamic instability (arterial systolic pressure lower than 70 mmHg) or requirements of vasoactive drugs
Glasgow score equal to or lower than 9 or requiring OTI for airway protection or for recent pulmonary resucitation
Antecedents of respiratory failure resulting from neuromuscular pathology
Failure of two or more organs
Facial deformities; and
Recent facial, aesophagic and gastric surgeries

Noninvasive Mechanical Ventilation in Severe Community-Acquired Pneumonia and Acute Hypoxemic Respiratory Failure. A Prospective, Randomized and Controlled Study

Resumen

Elegibilidad

Criterios de inclusión

Criterios de exclusión

Intervenciones

Non invasive mechanical ventilation

Ubicaciones

Hospital Privado del Sur

Patrocinadores