Does early use of bilevel positive airway pressure (bipap) in cardiothoracic intensive care unit prevent reintubation?

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dc.authoridBaysal, AyG/0000-0002-1487-7407
dc.authoridsagiroglu, gonul/0000-0002-1189-4973
dc.authorwosidsagiroglu, gönül/AAB-4472-2021
dc.authorwosidBaysal, AyG/AAR-8763-2021
dc.authorwosidSagiroglu, Gonul/ABH-1345-2021
dc.authorwosidBaysal, Ayse/AAF-8294-2019
dc.authorwosiddoğukan, mevlüt/HJY-5235-2023
dc.authorwosidBaysal, Ayse/AAR-8769-2021
dc.contributor.authorSagiroglu, G.
dc.contributor.authorBaysal, A.
dc.contributor.authorCopuroglu, E.
dc.contributor.authorGul, Y. G.
dc.contributor.authorKaramustafaoglu, Y. A.
dc.contributor.authorDogukan, M.
dc.date.accessioned2024-06-12T11:09:17Z
dc.date.available2024-06-12T11:09:17Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIntroduction: Non-invasive ventilation (NIV) is a preferred treatment in acute respiratory failure after operations. Our aim is to investigate the success of early use of bilevel positive airway pressure (BIPAP) after cardiac or thoracic surgeries to prevent reintubation. Methods: In a prospective randomized study, 254 patients were divided into two groups depending on the time period between extubation and the application of BIPAP. In Group 1 BIPAP was applied after extubation within 48 hours after surgery following fulfilling of acute respiratory failure criterias whereas, in Group 2, BIPAP was applied one hour after extubation for two episodes of 20 minute duration and 3 hours apart. Arterial blood gas values (pH, PaO2, PaCO2) at first and fourth hour after BIPAP were collected. Results: In comparison between groups, no significant differences were observed for arterial blood gas values of pH and PaCO2 at baseline, one and four hours after BIPAP (p > 0.05) however, the PaO2 values at one and four hours after BIPAP were significantly better in Group 1 in comparison to Group 2 (p < 0.001, p < 0.001; respectively). Reintubation rate was 14 patients (11%) in Group 1 and 7 patients (5.5%) in Group 2 (p = 0.103). Conclusions: The early and prophylactic use of BIPAP after cardiac or thoracic operations did not provide diminished rates in the postoperative complications such as reintubation.en_US
dc.identifier.endpage3446en_US
dc.identifier.issn1940-5901
dc.identifier.issue10en_US
dc.identifier.pmid25419380en_US
dc.identifier.scopus2-s2.0-84910069596en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage3439en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22754
dc.identifier.volume7en_US
dc.identifier.wosWOS:000345121100038en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherE-Century Publishing Corpen_US
dc.relation.ispartofInternational Journal Of Clinical And Experimental Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNon-Invasive Ventilatonen_US
dc.subjectBilevel Positive Airway Pressureen_US
dc.subjectHypoxiaen_US
dc.subjectPostoperative Complicationsen_US
dc.subjectReintubationen_US
dc.subjectObstructive Pulmonary-Diseaseen_US
dc.subjectAcute Respiratory-Failureen_US
dc.subjectNoninvasive Ventilationen_US
dc.subjectMechanical Ventilationen_US
dc.subjectControlled-Trialen_US
dc.subjectExtubationen_US
dc.subjectSurgeryen_US
dc.subjectRisken_US
dc.subjectMetaanalysisen_US
dc.titleDoes early use of bilevel positive airway pressure (bipap) in cardiothoracic intensive care unit prevent reintubation?en_US
dc.typeArticleen_US

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