id	f8c134bbffec06c270539243c2119ec1
record_format	ojs
spelling	Publication info:eu-repo/semantics/article Revista Colombiana de Neumología https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/681 Español https://creativecommons.org/licenses/by-nc-nd/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0. http://purl.org/coar/resource_type/c_6501 application/pdf http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Alí Munive, Abraham Asociación Colombiana de Neumología y Cirugía de Tórax ventilación no invasiva Rodríguez A, Pilar Dueñas, Carmelo Artículo de revista 4 Granados, Marcela González, Marco 22 Varón, Fabio A. enfermedad pulmonar obstructiva crónica falla respiratoria cuidado intensivo Dennis V, Rodolfo chronic obstructive pulmonary disease non-invasive ventilation respiratory failure Introduction: non-invasive mechanical ventilation (NIV) has seen important advances in its technique and applicationsover the past 10 years. In Colombia, utilization of NIV in intensive care units (ICUs) appears to be limited, and its impactunknown. Objectives: to describe the current state of NIV in ICUs throughout Colombia under the aspects of knowledge, attitudes, perceptions, and practices. Design: a descriptive, crosscut, observational study. Materials and methods: a focal group was formed, and semi-structured interviews were conducted with patients, in order to define the areas to be surveyed. A pilot study was applied, for reasons of convenience, to five physicians who have worked in ICUs. Adult ICUs of Colombia were included. The directors of the ICUs received information by mail about the study and an invitation to schedule a telephonic appointment. Results: 136 ICUs were registered nationwide, 113 (83%) answered, 70% private; 30% in Bogotá, 21% in the Caribbean region, 17% in the central region, and 12% in Medellin; most ICUs (51%) had 7-12 beds. Knowledge: the distribution of correct answers was as follows: Knowledge on indications in COPD 85%, other indications 43%. There are no significant differences in knowledge according to unit size (p &gt; 0,05), but the difference by region is significant (p &lt; 0,001) between the least and greatest percentage of correct answers. Practices: NIV was used in 80%% of the ICUs of Colombia. In Medellin it was used in 100% of them. The least rate of utilization took place in the country's central region (63%). Over the 90 days prior to the survey, the interviewed participants used mechanical ventilation in an average of 89 patients, of whom 12 (13%) were treated with NIV. 33% were eventually intubated. In the group of ICUs that had not used NIV, the main explanation was lack of resources (80%), whereas the reasons of lack of knowledge, lack of confidence, and not taking it into account added up to a total 20%. 76% of ICUs in Colombia did not have ventilators specifically meant for NIV, and only half of them had special masks. There were no differences concerning resources between private and public ICUs. Attitudes and perceptions. Among the directors, the technique generates confidence and the sensation of being important for patient management. They said they thought it should be used more than it has been used until now. They perceived there were fewer complications than in intubated patients. They thought it was less costly than invasive ventilation under the aspects of staff, equipment, and accessories. The interviewed subjects perceived that the patient and his or her family more readily accepted non invasive ventilation than invasive ventilation. Conclusions: the study was representative, since it surveyed more than 80% of the country's adult ICUs. There is lack of knowledge among ICU directors concerning NIV in critically ill patients, whereas their knowledge of its indication in COPD is satisfactory. The use of NIV in ICUs throughout Colombia was high, and it appeared to have made possible to avoid a great number of intubations, despite the lack of adequate resources. The perception about the technique was good. Journal article https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/681/556 151 143 2010-12-04T00:00:00Z https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/681 2538-9513 0121-5426 2010-12-04 2010-12-04T00:00:00Z
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	Introduction: non-invasive mechanical ventilation (NIV) has seen important advances in its technique and applicationsover the past 10 years. In Colombia, utilization of NIV in intensive care units (ICUs) appears to be limited, and its impactunknown. Objectives: to describe the current state of NIV in ICUs throughout Colombia under the aspects of knowledge, attitudes, perceptions, and practices. Design: a descriptive, crosscut, observational study. Materials and methods: a focal group was formed, and semi-structured interviews were conducted with patients, in order to define the areas to be surveyed. A pilot study was applied, for reasons of convenience, to five physicians who have worked in ICUs. Adult ICUs of Colombia were included. The directors of the ICUs received information by mail about the study and an invitation to schedule a telephonic appointment. Results: 136 ICUs were registered nationwide, 113 (83%) answered, 70% private; 30% in Bogotá, 21% in the Caribbean region, 17% in the central region, and 12% in Medellin; most ICUs (51%) had 7-12 beds. Knowledge: the distribution of correct answers was as follows: Knowledge on indications in COPD 85%, other indications 43%. There are no significant differences in knowledge according to unit size (p &gt; 0,05), but the difference by region is significant (p &lt; 0,001) between the least and greatest percentage of correct answers. Practices: NIV was used in 80%% of the ICUs of Colombia. In Medellin it was used in 100% of them. The least rate of utilization took place in the country's central region (63%). Over the 90 days prior to the survey, the interviewed participants used mechanical ventilation in an average of 89 patients, of whom 12 (13%) were treated with NIV. 33% were eventually intubated. In the group of ICUs that had not used NIV, the main explanation was lack of resources (80%), whereas the reasons of lack of knowledge, lack of confidence, and not taking it into account added up to a total 20%. 76% of ICUs in Colombia did not have ventilators specifically meant for NIV, and only half of them had special masks. There were no differences concerning resources between private and public ICUs. Attitudes and perceptions. Among the directors, the technique generates confidence and the sensation of being important for patient management. They said they thought it should be used more than it has been used until now. They perceived there were fewer complications than in intubated patients. They thought it was less costly than invasive ventilation under the aspects of staff, equipment, and accessories. The interviewed subjects perceived that the patient and his or her family more readily accepted non invasive ventilation than invasive ventilation. Conclusions: the study was representative, since it surveyed more than 80% of the country's adult ICUs. There is lack of knowledge among ICU directors concerning NIV in critically ill patients, whereas their knowledge of its indication in COPD is satisfactory. The use of NIV in ICUs throughout Colombia was high, and it appeared to have made possible to avoid a great number of intubations, despite the lack of adequate resources. The perception about the technique was good.
author	Alí Munive, Abraham Rodríguez A, Pilar Dueñas, Carmelo Granados, Marcela González, Marco Varón, Fabio A. Dennis V, Rodolfo
spellingShingle	Alí Munive, Abraham Rodríguez A, Pilar Dueñas, Carmelo Granados, Marcela González, Marco Varón, Fabio A. Dennis V, Rodolfo ventilación no invasiva enfermedad pulmonar obstructiva crónica falla respiratoria cuidado intensivo chronic obstructive pulmonary disease non-invasive ventilation respiratory failure
author_facet	Alí Munive, Abraham Rodríguez A, Pilar Dueñas, Carmelo Granados, Marcela González, Marco Varón, Fabio A. Dennis V, Rodolfo
topicspa_str_mv	ventilación no invasiva enfermedad pulmonar obstructiva crónica falla respiratoria cuidado intensivo
topic	ventilación no invasiva enfermedad pulmonar obstructiva crónica falla respiratoria cuidado intensivo chronic obstructive pulmonary disease non-invasive ventilation respiratory failure
topic_facet	ventilación no invasiva enfermedad pulmonar obstructiva crónica falla respiratoria cuidado intensivo chronic obstructive pulmonary disease non-invasive ventilation respiratory failure
citationvolume	22
citationissue	4
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/681
language	Español
format	Article
rights	https://creativecommons.org/licenses/by-nc-nd/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2010-12-04
date_accessioned	2010-12-04T00:00:00Z
date_available	2010-12-04T00:00:00Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/681
url_doi	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/681
issn	0121-5426
eissn	2538-9513
citationstartpage	143
citationendpage	151
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/681/556
_version_	1797159676222111744

Código QR

Estadísticas y Métricas Alternativas

Títulos similares