Noninvasive Ventilation in Cancer Patients after Thoracic Surgeries

Ye.M. Krutko, M.V. Krasnoselskyi, O.N. Yurchenko

Abstract


The article reliably proves the clinical efficacy of the technique of respiratory therapy — a noninvasive ventilation, which recently gained a widespread popularity among specialists in the field of intensive care. The specificity of the observation group was oncopathology of the chest organs in patients, operated under total intravenous anesthesia with the use of mechanical ventilation. In order to determine the effectiveness of this method of respiratory therapy in the above group of patients, we used the methods of determining patient’s comfort by means of a visual analog scale. Noninvasive ventilation has proven to be an effective way of intensive care, and a method of respiratory disorders prevention: patients, whose management in the postoperative period was performed using the method of noninvasive ventilation, had a significant improvement in the acid-base, blood gas and hemodynamic parameters. During the observation, we have identified the following indications for the use of this technique in the intensive care of patients, who underwent surgery for cancer of the chest cavity: respiratory failure stage 1–2 in patients with preserved consciousness, atelectasis of the lung tissue, the risk of ventilator-associated pneumonia considering the metabolic and hemodynamic changes, particularly in the early postoperative period. The article examined and justified the recommendations to conduct respiratory therapy using noninvasive ventilation, mode parameters and timing of ventilation. Considered respiratory postoperative management of cancer patients after surgeries significantly shortens the length of stay of patients in the intensive care units, and hence, reduces the cost of treatment, has a positive psychoemotional effect, which is particularly important in the group of cancer pathology.


Keywords


oncopathology; noninvasive ventilation

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DOI: https://doi.org/10.22141/2224-0586.5.76.2016.76439

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