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Research Paper | Medicine | Algeria | Volume 12 Issue 9, September 2023 | Rating: 5.5 / 10

The Place of Non-Invasive Ventilation (NIV) in the Management of Acute Respiratory Failure in the Emergencies of Oran University Hospital Center

Soumia Benbernou | Faouzia. Kambouche | Nabil Ghomari

Abstract: Introduction: Non-invasive ventilation (NIV) is one of the treatments for acute respiratory failure (ARF). The use of this technique in Algeria remains little known, as shown by the paucity of publications on the subject. The aim of this study is to estimate the frequency of recourse to NIV and to determine the failure factors associated with NIV in adult patients hospitalized for acute respiratory failure in the emergency department of the University Hospital Centre of Oran. Materials and Methods: This is a retrospective descriptive study spread over two years, from January 2018 to November 2019, and including all patients admitted for acute respiratory failure, which is defined as the inability of a patient to maintain normal haematosis. The haematosis disorder is characterized by hypoxemia, which is defined by clinical and gasometric criteria: polypnea-type dyspnea with a respiratory frequency of more than 25 C/min associated with signs of struggle and an SPO2 of less than 95% associated with an arterial blood oxygen partial pressure of less than 80mmHg with or without an increase in theCO2 partial pressure [9], [10]. To analyze the risk factors, a univariate analysis was performed using SPSS software, with a significance level of 5%. Results: Ninety-seven patients were hospitalized for ARI during this period. NIV was used in 37 patients (38.1%). 64.9% of patients who received NIV had acute lung oedema. The failure rate for this technique was 32.4%. Univariate analysis showed that Pulsed Oxygen Saturation was the only factor in failure in this series. Conclusion: NIV should be used more frequently in the management of ARF in emergency departments, which would reduce the need for intubation and mechanical ventilation (invasive techniques), especially in indications where the level of evidence in the literature is recommended.

Keywords: Acute respiratory failure-non-invasive ventilation-mechanical ventilation-acute lung oedema-hypoxia-COPD decompensation

Edition: Volume 12 Issue 9, September 2023,

Pages: 1893 - 1896