Advertisement

A 3-Year Retrospective Audit of the Use of Noninvasive Positive Pressure Ventilation via the Oxylog 3000 Transport Ventilator During Air Medical Retrievals

      Abstract

      Introduction

      The purpose of this study was to describe the safety profile of noninvasive positive pressure ventilation (NIPPV) using the Oxylog 3000 transport ventilator (Drager Medical, Lübeck, Germany) by air medical retrieval teams from the Queensland Section of the Royal Flying Doctor Service of Australia.

      Methods

      Over a 3-year period, patients identified in clinical transport records to have NIPPV via the Oxylog 3000 transport ventilator during air medical transfer were systematically reviewed on the clinical indication and adverse effects.

      Results

      A total of 29 patients were identified to have had treatment with NIPPV during air medical retrieval. Three patients suffered serious adverse effects of cardiorespiratory arrest during treatment. The main reported adverse event was intolerance of the facemask. There were no documented episodes of vomiting or hypotension.

      Conclusion

      The use of NIPPV via the Oxylog 3000 transport ventilator during air medical retrieval requires careful patient selection. The application and management do not differ from standard hospital-based practice.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Air Medical Journal
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ducros L
        • Logeart D
        • Vicaut E
        • Henry P
        • Plaisance P
        • Collet JP
        • et al.
        CPAP for acute cardiogenic pulmonary oedema from out-of-hospital to cardiac intensive care unit: a randomised multicentre study.
        Intensive Care Med. 2011; 37: 1501-1509
        • Daily J
        • Wang H
        Noninvasive positive pressure ventilation: resource document for the National Association of EMS Physicians position statement.
        Prehosp Emerg Care. 2011; 15: 432-438
        • Schmidbauer W
        • Ahlers O
        • Spies C
        • Dreyer A
        • Mager G
        • Kerner T
        Early prehospital use of non-invasive ventilation improves acute respiratory failure in acute exarcebation of chronic obstructive pulmonary disease.
        Emerg Med J. 2011; 28: 626-627