An Acute Respiratory Distress Syndrome Patient Successfully Treated with Noninvasive Mechanical Ventilation

SAVRAN Y., BAŞOĞLU TÜYLÜ T., GÜNGÖR G., ÖZTÜRK S.

JOURNAL OF THE TURKISH SOCIETY OF INTENSIVE CARE-TURK YOGUN BAKM DERNEGI DERGISI, cilt.13, sa.1, ss.37-40, 2015 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 1
  • Basım Tarihi: 2015
  • Doi Numarası: 10.4274/tybdd.83803
  • Dergi Adı: JOURNAL OF THE TURKISH SOCIETY OF INTENSIVE CARE-TURK YOGUN BAKM DERNEGI DERGISI
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.37-40
  • Anahtar Kelimeler: Acute respiratory distress syndrome, non-invasive ventilation, immunosuppressive patient, acute respiratory failure
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Since still controversial and not often applied, we would like to share our acute respiratory distress syndrome (ARDS) patient successfully treated with noninvasive mechanical ventilation. A 26 year-old male patient with the diagnosis of Burkitt lymphoma was admitted to our intensive care unit because of neutropenic fever and sepsis-induced ARDS after chemotherapy. Although PO2/FiO(2) = 114.2, we started noninvasive mechanical ventilation since the patient was conscious and cooperative. Non-invasive mechanical ventilation and spontaneous respiration experiments were successfully managed according to the intermittent arterial blood gas results and the need for non-invasive mechanical ventilation was disappeared at the end of 72 hours. Especially in the early phases of ARDS and in selected patients non-invasive mechanical ventilation should be tried before intubation but invasive mechanical ventilation should not be delayed if the patient deteriorates.