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RISS 인기검색어
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- 저자 : ( Gene Ambrosio ) (검색결과 1 건)
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( Gian Carlo Carpio ),( Roy Ballaso ),( Gene Ambrosio ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Provision of non-invasive ventilation (NIV) among selected patients with respiratory failure remained challenging to clinicians. There is limited data regarding clinical and technical utilization locally especially among medical residents. Objective: The purpose of this study is to determine the practice patterns of medical residents on the use of non-invasive ventilation in a tertiary care hospital. Methods: Descriptive survey involving 56 participants. Results: Majority of participants have attended NIV lectures, but only few have joined hands-on workshop. None of them knew any existing guideline about NIV. Majority of respondents have practiced NIV (60.71%). Overall utilization rate was low and < 10% of all mechanical ventilation. High cost of equipment rental (81.82%) and lack of knowledge were identifi ed as major barriers to NIV use. Top clinical indications include COPD exacerbation (100%) and respiratory failure in do-not-intubate patient (52.9%). Majority of participants will monitor response after 1 hour (55.9%). Face mask was the preferred interface (94%) irrespective of clinical scenario. ICU ventilator with NIV module was frequently used both for COPD and ACPE. Bi-level mode ventilation (76%) was more frequently used than CPAP. All medical residents agreed to stop NIV and proceed to intubation in the presence of respiratory pause or arrest and poorly tolerated cardiac arrhythmia. Practical and academic teaching and network organization for NIV were highly suggested. Conclusions: Majority of study participants have acceptable NIV practices. Signifi - cant variability of practice patterns exists in terms of preferred site of initiation andprotocol for initiation followed. NIV protocol should be created based on latest international guideline that is best applicable locally. Special ad hoc committee should be formed locally to negotiate high cost of equipment rental and make NIV easily available to most indigent patients.
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