Departments of aAnesthesiology bEmergency Medicine cInternal Medicine, American University of Beirut, Beirut, Lebanon.
Eur J Emerg Med. 2014 Jun;21(3):230-2. doi: 10.1097/MEJ.0b013e32835916cc.
Noninvasive positive pressure ventilation is increasingly being used in emergency departments across Europe and North America. To our knowledge, no similar data are available from other countries. The aim of this study is to describe the current use of noninvasive positive pressure ventilation in the emergency departments of Lebanese hospitals. A structured and validated questionnaire was sent to all emergency departments in Lebanon. In Lebanon, 48.4% of emergency departments use noninvasive positive pressure ventilation. It is mostly used for patients with chronic obstructive pulmonary diseases and cardiogenic pulmonary edema. Bilevel and continuous positive airway pressures are the two most widely used modalities for noninvasive positive pressure ventilation. Face mask is the most used patient interface. The use of uniform protocols and training is lacking. Noninvasive positive pressure ventilation in Lebanese emergency departments is underused, with significant potential for improvements in its current practice.
在欧洲和北美的急诊科,无创正压通气的应用日益广泛。据我们所知,其他国家尚无类似数据。本研究旨在描述黎巴嫩医院急诊科目前无创正压通气的使用情况。我们向黎巴嫩所有急诊科发送了一份结构化且经过验证的调查问卷。在黎巴嫩,48.4%的急诊科使用无创正压通气。它主要用于慢性阻塞性肺疾病和心源性肺水肿患者。双水平和持续气道正压通气是无创正压通气最广泛使用的两种模式。面罩是最常用的患者接口。缺乏统一的协议和培训。黎巴嫩急诊科无创正压通气的使用率较低,在目前的实践中还有很大的改进空间。