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CC BY-NC-ND 4.0 · Sleep Sci 2017; 10(01): 35-40
DOI: 10.5935/1984-0063.20170006
ORIGINAL ARTICLE

Respiratory polygraphy monitoring of intensive care patients receiving non-invasive ventilation

Eduardo Borsini
1   Hospital Británico de Buenos Aires. Argentina.
,
Glenda Ernst
1   Hospital Británico de Buenos Aires. Argentina.
,
Magalí Blanco
1   Hospital Británico de Buenos Aires. Argentina.
,
Miguel Blasco
1   Hospital Británico de Buenos Aires. Argentina.
,
Martín Bosio
1   Hospital Británico de Buenos Aires. Argentina.
,
Alejandro Salvado
1   Hospital Británico de Buenos Aires. Argentina.
,
Carlos Nigro
2   Hospital Alemán. Argentina.
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Abstract

Introduction Patients that started on Non-Invasive Ventilation (NIV) need to define several parameters selected on the basis of diurnal arterial blood gas and underlying disease. We hypothesize that respiratory polygraphy (RP) could be useful to monitor NIV. This retrospective work describes RP findings and their impact on the setting of continuous flow ventilators from patients on NIV of Intensive Care Unit (ICU).

Material and Methods Patient's data on NIV from at the ICU of Hospital Británico were included in this study. RP recordings were performed in all of them. Respiratory events, such as ventilatory pattern changes, impact on oximetry or tidal volume, were observed to modify the ventilatory mode after RP.

Results The RP findings have contributes to change the ventilatory mode for one third of the patients. The mean values of expiratory positive airway pressure (EPAP) and inspiratory positive airway pressure (IPAP) were not significantly different across all the population before or after RP: 8.7±0.3 vs. 8.6±0.4; p<0.88 and 18.6±0.6 vs. 17.7±0.7; p<0.26 respectively, however, half the patients presented > 2 cmH2O pressure value changes after RP.

Conclusions RP recordings could contribute to broad range of data useful to make decisions about changes in programming and allowed to identify adverse events related to positive pressure.

Oximetry - Noninvasive ventilation - Intensive care units - Blood gas analysis

FUNDING

No funding was received for this research.




Publication History

Received: 16 October 2016

Accepted: 21 December 2016

Article published online:
29 September 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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