“I can’t catch my breath’...The use of Noninvasive Ventilation as Adjunct Therapy to Reduce the Need for Intubation.

Author

Erika Meza Rodriguez, University of Texas at El Paso

Date of Award

2022

Degree Type

DNP Project

Degree Name

Doctor of Nursing (ND)

Department

Nursing

Chair

Jacob Martinez, PhD, RN

Abstract

Noninvasive ventilation (NIV) is currently used as an adjunct therapy for treatment of respiratory failure with or without hypoxia. NIV is use a support for patients with severe is used acute respiratory failure) associated with Coronavirus-19, exacerbations of chronic obstructive pulmonary disease, acute cardiopulmonary edema and hypercapnia as well as to avoid reintubation of patients who were recently extubated. Published evidence that supports the use of noninvasive ventilation was collected from a comprehensive search of MEDLINE, EMBASE, PubMed, Cumulative Index Nursing and Allied Health Literature (CINAHL) and Cochrane databases. The purpose of the quality improvement (QI) project was to implement the early use of NIV support to reduce the incidence of endotracheal intubation. The outcomes of this QI project documented the need for NIV based on vital signs, arterial blood gases (ABG) values, and the arterial oxygen level (pO2) divided by the level of the amount of the patient’s oxygen requirement or FiO2 (i.e., the P/F ratio). The QI project revealed that the implementation of NIV was associated with an 86% reduction in the need for intubation in a cohort of 14 patients. These results reveal the value of implementing NIV during patient care as this type of ventilation support has shown help relieve the need for invasive respiratory support.

Recommended Citation

Meza Rodriguez, Erika, "“I can’t catch my breath’...The use of Noninvasive Ventilation as Adjunct Therapy to Reduce the Need for Intubation." (2022). Cohort X. 6.
https://scholarworks.utep.edu/cohort_10/6