Akademik Veri Yönetim Sistemi
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, cilt.9, sa.3, ss.6983-6985, 2016 (SCI-Expanded)
We would like to reply to the comments are as follows: 1-Our patients were published in Letter to Editor entitled "Non invasive ventilation to prevent reintubation. Key methodological concerns in cardiothoracic unit" by the authors Beyoglu C.A., Ozdilek A., Esquinas A.M. in Int J Clin Exp Med. The main issues that the authors Beyoglu and her collegues have put forward and our answers to these comments are as follows: 1- The patients in our study have a history of cardiac dysfunction and they underwent cardiac or thoracic surgeries and because of these reasons they are not hemoynamically in stable state, 2- The materials and methods have been well presented in our study, 3- The inclusion criterias are well established in our study. We do not wait on room air oxygen until patients have an acute respiratory failure before application of noninvasive ventilation and patient's clinical deterioration while receiving oxygen therapy via face mask is necessary to decide whether patient has respiratory distress or not. These decisions are made depending on acute respiratory failure criterias on textbooks. 4- Cardiac and thoracic surgeries are both included as these operations are involved significantly with postoperative pulmonary dysfunction because of incision on chest wall causing atelectasis, pleural opening, possible phrenic nevre injury, pain, prolonged recumbent position and reduction of diaphragmatic movement, 5- Pain is an important factor for postoperative pulmonary complications and we thank you for your comment and describe our pain relief methodology during our study, 6- The complication rates were statistically not different from each other between the groups, 7- Carbondioxide retention, hypoxia and bradycardia are a part of the definition of failure of noninvasive ventilation and bradycardia is not listed in acute respiratory failure criteria in our study.