Comparison between CPAP and BIPAP Ventilation in Treatment of Postoperative Pulmonary Complications
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- Category: Vol. 81, September 2013
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Comparison between CPAP and BIPAP Ventilation in Treatment of Postoperative Pulmonary Complications, KAMEL A. MOHAMED
Abstract
Introduction: Postoperative pulmonary complications (PPC) are as prevalent as cardiac complications and contribute significantly to morbidity, mortality and length of hospital stay. Determination of frequency and clinical impact of PPC in modern practice is limited because of lack of a uniform definition of PPC in the literature.
Aim of the Work: To evaluate the role of non invasive ventilatory support with BIPAP or CPAP in recovery from post operative pulmonary complications after non cardiac surgery.
Patients and Methods: Sixty patients who underwent non cardiac surgery and suffered (PPC) were included in the study and classified into three group 1 (BIPAP group), group 2 (CPAP) and group 3 (standard group).
Results: Out of sixty patients admitted postoperatively by respiratory problems, 29 patients had atelectasis (48.3%) and 16 patients suffered bronchospasm. The hemodynamic status and ABG at the time of ICU admission showed no significant difference between the three groups. However, in spite of that there was significant improvement in PH, Pa02, PaCO2 and 02 sat among patients assigned to BIPAP group on the next day of admission in comparison to CPAP group and standard group. The length of stay in ICU was significantly shorter among patients assigned to BIPAP group (p-value 0.04).
Conclusion: Our study demonstrated the feasibility, good tolerance and safety of BIPAP for the treatment of post operative respiratory problems as well as significant improve-ment in ABG on the next day of admission and shorter length of ICU stay.