Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/9511
Title: Non-invasive ventilation reduces the need for endotracheal intubation in chronic obstructive pulmonary disease patients
Authors: Farrugia, Adrian (2013)
Keywords: Lungs -- Diseases, Obstructive
Respiratory therapy
Issue Date: 2013
Abstract: Chronic obstructive pulmonary disease is the third leading cause of death in noncommunicable diseases. In Malta four per cent of the total admissions to hospital in 2011 were due to this respiratory disease. The primary treatment in acute respiratory failure is Oxygen Therapy. Non-invasive positive pressure ventilation is also used but there is still lack of knowledge, and is still not clear whether non-invasive ventilation reduces the risks for endotracheal intubation. The PICO question formulated to guide this dissertation was: In patients who suffer an acute respiratory failure due to COPD, will NPPV be more efficacious than conventional O2 therapy, in reducing the risk of endotracheal intubation? Population - patients with COPD Intervention - non-invasive positive pressure ventilation Comparison - O2 therapy Outcome - reduction of the risk of endotracheal intubation Various databases were searched for relevant clinical trials from the year 1990 till the end of September 2012. Inclusion and exclusion criteria that were applied included studies written in English only and available in full text. Only randomised controlled trials and systematic reviews were included, and studies that answered the PICO question. Nine papers were retrieved for evaluation of the methodology quality and, to appraise those articles, the tools CONSORT 2010 and PRISMA 2009 were applied. Different but positive results were identified because of different factors used in the studies such as difference in the severity of chronic obstructive pulmonary disease; in the equipment and the time used, non-invasive positive pressure ventilation was applied. All the articles showed positive results, and found that non-invasive ventilation reduced the risk of endotracheal intubation when compared to oxygen therapy. One article did not find statistical significant results but still recommended the use of non-invasive ventilation. The introduction of training and education of health professionals with regards to noninvasive positive pressure ventilation is needed in the Maltese healthcare setting and research conducted locally is needed to compare results and formulate guidelines and protocols to help health professionals in their decision making.
Description: B.SC.(HONS)HEALTH SCIENCE
URI: https://www.um.edu.mt/library/oar//handle/123456789/9511
Appears in Collections:Dissertations - FacHSc - 2013
Dissertations - FacHScNur - 2013

Files in This Item:
File Description SizeFormat 
13BSH013.pdf
  Restricted Access
968.46 kBAdobe PDFView/Open Request a copy


Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.