[Non-invasive ventilation improves comfort in pediatric palliative care patients]
1Unidad de Cuidados Intensivos Pediátrica, Hospital San Juan de Dios, Esplugues de Llobregat, Barcelona, España.
Objective:
To analyze the appropriate use of non-invasive ventilation and its contribution to improving comfort in pediatric palliative care patients.
Patients And Method:
This is a descriptive cross-sectional study comprising 55 palliative care patients from San Juan de Dios Hospital in Barcelona. The effectiveness was evaluated using a register of socio-demographic, clinical-ventilatory and oxymetric parameters, the comfort and dyspnea's grade using Silverman Anderson scale, and pain level using pediatric scales.
Results:
The effectiveness of the technique was proved by a decreased heart rate (133.53±25.8 vs. 111.04±23.1; p<0.0001), respiratory rate (35.02±12.9 vs. 25.63±5.7; p<0.0001) and an increase of partial oxygen saturation (95.7±2.9 vs. 96.87±7.2; p<0.0001) and partial oxygen saturation/fraction of inspired oxygen ratio (297.12±113.4 vs. 336.97±100.7; p<0.0001). Dyspnea and pain levels improved in 100% of the patients.
Conclusions:
The therapy was effective and the comfort improved in 100% of the patients.
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