Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation
Yıl: 2022 Cilt: 70 Sayı: 2 Sayfa Aralığı: 157 - 165 Metin Dili: İngilizce DOI: 10.5578/tt.20229806 İndeks Tarihi: 06-07-2022
Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation
Öz: Introduction: Non-invasive mechanical ventilation (NIMV) is a successful treatment
modality in hypercapnic respiratory failure. Patient compliance and mask
selection are the most important factors in the success of NIMV. In our prospective
randomized study, we aimed to investigate the efficacy of full-face and
oronasal masks in the treatment of patients with hypercapnic respiratory failure
who underwent NIMV and to investigate the mask compliance of the patients.
Materials and Methods: In this prospective randomized study, 60 patients
with hypercapnic respiratory failure were divided into two groups; the full
face mask group (n= 30) and the oronasal mask group (n= 30). Arterial blood
gas values and respiratory rates were measured before the treatment and at
the 1st, 6th, 24th, and 72nd hours of the treatment. The compliance of the
patients with the treatment was evaluated with the patient compliance scale
(PCS) at the 1st, 6th, and 24th hours of the treatment.
Results: Eight patients from the full-face mask group were excluded because
of mask-face mismatch and claustrophobia, and two patients from the oronasal
mask group due to persistent hypercapnia. In the full face mask group,
improvement in pH was observed at the 1st and 24th hours of treatment (p=
0.042, p= 0.033), and PCO2 decreased at the 72nd hour of treatment (p=
0.024). There was no difference in patient compliance and respiratory rate
between groups. The complaints of burning sensation and pressure in the eyes
were higher in the full face mask group (p= 0.025), and pressure ulcers were
more common in the oronasal mask group (p= 0.025).
Conclusion: The reduction in PCO2 and improvement in pH were greater with
a full face mask. Pressure sores were less common with a full face mask. In our
study, no difference was found in terms of patient compliance between groups.
It should be noted that choosing a full face mask in patients with high compliance
will increase the success in the treatment of hypercapnic respiratory failure.
Anahtar Kelime: Non-invaziv mekanik ventilasyon uygulanan hiperkapnik solunum yetmezliği hastalarında tam yüz ve oronazal maske etkinliğinin karşılaştırılması
Öz: Giriş: Non-invaziv mekanik ventilasyon (NIMV) hiperkapnik solunum yetmezliğinde başarılı bir tedavi yöntemidir. Hasta uyumu ve
maske seçimi NIMV uygulamasında en önemli etkenlerdir. Prospektif randomize çalışmamızda, NIMV uygulanan hiperkapnik solunum
yetmezlikli hastalarda tam yüz ve oronasal maskelerin tedavide etkinliği ve hastaların maske uyumunu araştırmayı amaçladık.
Materyal ve Metod: Prospektif randomize çalışmamızda hiperkapnik solunum yetmezliği olan 60 hasta, tam yüz maske grubu (n=
30) ve oronasal maske grubu (n= 30) olarak iki gruba ayrıldı. Grupların tedavi öncesi ve tedavinin 1., 6., 24., 72. saatinde arter kan
gazı ve solunum sayısına bakıldı. Hastaların tedaviye uyumu hasta uyum skalası (HUS) ile tedavinin birinci, altıncı, 24. saatinde
değerlendirildi.
Bulgular: Tam yüz maske grubundan sekiz hasta maske-yüz uyumsuzluğu ve klostrofobi gelişmesi, oronasal maske grubundan iki
hasta persistan hiperkapni nedeni ile çalışmadan çıkarıldı. Tam yüz maske grubunda tedavinin 1. ve 24. saatinde pH’ta düzelme (p=
0,042, p= 0,033), tedavinin 72. saatinde PCO2’de azalma daha fazla (p= 0,024) idi. Her iki grupta hasta uyumu ve solunum sayısı
açısından farklılık yoktu. Tam yüz maske grubunda gözlerde yanma ve basınç şikayeti (p= 0,025), oronasal maske grubunda ise bası
yarası daha fazlaydı (p= 0,025).
Sonuç: Tam yüz maske ile PCO2’de düşüş ve PH’ta düzelme daha fazladır. Tam yüz maske ile bası yarası daha az görülmektedir.
Çalışmamızda her iki grupta hasta uyumu açısından fark tespit edilmemiştir. Hasta uyumu olan olgularda tam yüz maskenin seçilmesinin,
hiperkapnik solunum yetmezliği tedavisinde başarıyı artıracağı unutulmamalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Schönhofer B, Sortor-Leger S. Equipment needs for noninvasive mechanical ventilation. Eur Respir J 2002; 20(4): 1029-36. https://doi.org/10.1183/09031936.02.004042 02
- 2. Timothy A. Morris. Akut Hiperkapnik Solunum Yetmezliği. In: Göğüs Hastalıklarında Klinik Problemler El Kitabı. Çeviri: Bayraktaroğlu M. Çeviri Editörü: Yıldız BP. Medikal Yayıncılık: İstanbul, 2008: 317-23.
- 3. Antonelli M, Conti G, Pelosi P, Gregoretti C, Pennisi MA, Costa R, et al. New treatment of acute hypoxemic respiratory failure: noninvasive pressure support ventilation delivered by helmet-a pilot controlled trial. Critl Care Med 2002; 30(3): 602-8. https://doi.org/10.1097/00003246- 200203000-00019
- 4. Antón A, Tárrega J, Giner J, Güell R, Sanchis J. Acute physiologic effects of nasal and full-face masks during noninvasive positive-pressure ventilation in patients with acute exacerbations of chronic obstructive pulmonary disease. Respir Care 2003; 48(10): 922-5.
- 5. Criner GJ, Travaline JM, Brennan KJ, Kreimer DT. Efficacy of a new full face mask for noninvasive positive pressure ventilation. Chest 1994; 106(4): 1109-15. https://doi. org/10.1378/chest.106.4.1109
- 6. Lemyze M, Mallat J, Nigeon O, Barrailler S, Pepy F, Gasan G, et al. rescue therapy by switching to total face mask after failure of face mask-delivered noninvasive ventilation in do-not-intubate patients in acute respiratory failure. Crit Care Med 2013; 41(2): 481-8. https://doi.org/10.1097/ CCM.0b013e31826ab4af
- 7. Ali A, Türkmen A, Turgut N, Altan A, Sari T. Kronik obstrüktif akciğer hastalığının akut alevlenmesinde uygulanan noninvaziv mekanik ventilasyonda helmet ile yüz maskesinin karşılaştırılması Tuberk Toraks 2011; 59(2): 146-52.
- 8. Ambrosino N, Vagheggini G. Noninvasive positive pressure ventilation in the acute care setting: Where are we? Eur Respir J 2008; 31(4): 874-86. https://doi. org/10.1183/09031936.00143507
- 9. Antonaglia V, Ferluga M, Molino R, Lucangelo U, Peratoner A, Roman-Pognuz E, et al. Comparison of noninvasive ventilation by sequential use of mask and helmet versus mask in acute exacerbation of chronic obstructive pulmonary disease: A preliminary study. Respiration 2011; 82(2): 148-54. https://doi.org/10.1159/000324259
- 10. Navalesi P, Fanfulla F, Frigerio P, Gregoretti C, Nava S. Physiologic evaluation of noninvasive mechanical ventilation delivered with three types of masks in patients with chronic hypercapnic respiratory failure. Crit Care Med 2000; 28(6): 1785-90. https://doi.org/10.1097/00003246- 200006000-00015
- 11. Özlem ÇG, Ali A, Fatma U, Mehtap T, Şaziye Ş. Comparison of helmet and facial mask during noninvasive ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease: a randomized controlled study. Turk J Med Sci 2015; 45(3): 600-6. https://doi.org/10.3906/ sag-1401-109
- 12. Majorski DS, Callegari JC, Schwarz SB, Magnet FS, Majorski R, Storre JH, et al. Oronasal versus nasal masks for non-invasive ventilation in COPD: A randomized crossover trial. Int J Chron Obstruct Pulmon Dis 2021; 16: 771-81. https://doi.org/10.2147/COPD.S289755
- 13. Sadeghi S, Fakharian A, Nasri P, Kiani A. Comparison of comfort and effectiveness of total face mask and oronasal mask in noninvasive positive pressure ventilation in patients with acute respiratory failure: A clinical trial. Can Respir J 2017; 2017: 2048032. https://doi. org/10.1155/2017/2048032
| APA | CİRİT EKİZ B, KÖKSAL N, Tuna T, Güllü Y (2022). Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. , 157 - 165. 10.5578/tt.20229806 |
| Chicago | CİRİT EKİZ BİRSEN,KÖKSAL NURHAN,Tuna Tibel,Güllü Yusuf Taha Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. (2022): 157 - 165. 10.5578/tt.20229806 |
| MLA | CİRİT EKİZ BİRSEN,KÖKSAL NURHAN,Tuna Tibel,Güllü Yusuf Taha Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. , 2022, ss.157 - 165. 10.5578/tt.20229806 |
| AMA | CİRİT EKİZ B,KÖKSAL N,Tuna T,Güllü Y Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. . 2022; 157 - 165. 10.5578/tt.20229806 |
| Vancouver | CİRİT EKİZ B,KÖKSAL N,Tuna T,Güllü Y Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. . 2022; 157 - 165. 10.5578/tt.20229806 |
| IEEE | CİRİT EKİZ B,KÖKSAL N,Tuna T,Güllü Y "Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation." , ss.157 - 165, 2022. 10.5578/tt.20229806 |
| ISNAD | CİRİT EKİZ, BİRSEN vd. "Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation". (2022), 157-165. https://doi.org/10.5578/tt.20229806 |
| APA | CİRİT EKİZ B, KÖKSAL N, Tuna T, Güllü Y (2022). Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. Tüberküloz ve Toraks, 70(2), 157 - 165. 10.5578/tt.20229806 |
| Chicago | CİRİT EKİZ BİRSEN,KÖKSAL NURHAN,Tuna Tibel,Güllü Yusuf Taha Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. Tüberküloz ve Toraks 70, no.2 (2022): 157 - 165. 10.5578/tt.20229806 |
| MLA | CİRİT EKİZ BİRSEN,KÖKSAL NURHAN,Tuna Tibel,Güllü Yusuf Taha Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. Tüberküloz ve Toraks, vol.70, no.2, 2022, ss.157 - 165. 10.5578/tt.20229806 |
| AMA | CİRİT EKİZ B,KÖKSAL N,Tuna T,Güllü Y Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. Tüberküloz ve Toraks. 2022; 70(2): 157 - 165. 10.5578/tt.20229806 |
| Vancouver | CİRİT EKİZ B,KÖKSAL N,Tuna T,Güllü Y Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation. Tüberküloz ve Toraks. 2022; 70(2): 157 - 165. 10.5578/tt.20229806 |
| IEEE | CİRİT EKİZ B,KÖKSAL N,Tuna T,Güllü Y "Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation." Tüberküloz ve Toraks, 70, ss.157 - 165, 2022. 10.5578/tt.20229806 |
| ISNAD | CİRİT EKİZ, BİRSEN vd. "Comparison of full-face and oronasal mask effectiveness in hypercapnic respiratory failure patients with non-invasive mechanical ventilation". Tüberküloz ve Toraks 70/2 (2022), 157-165. https://doi.org/10.5578/tt.20229806 |
