Place de la VNI en post extubation
Place de la VNI en post extubation
Place de la VNI en post extubation
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Noninvasive Mechanical V<strong>en</strong>ti<strong>la</strong>tion in the Weaning of Pati<strong>en</strong>tswith Respiratory Failure Due to Chronic Obstructive PulmonaryDisease ; Randomized, Controlled TrialNava, Annals of int med, 1998• Multic<strong>en</strong>trique (3 c<strong>en</strong>tres experts), randomisée, contrôlée.• 50 BPCO, 48 h d’intubation puis inclusion après échec <strong>de</strong> test tube<strong>en</strong> T.• Randomisation sevrage std <strong>extubation</strong> + <strong>VNI</strong> 20h/24• Interface : masque facial• Meilleurs résultats pour <strong>VNI</strong> : Augm<strong>en</strong>tation <strong>de</strong> <strong>la</strong> survie à 60 jours (28 vs 8%) Diminution <strong>de</strong>s pneumopathies nosocomiales ( 28 vs 0%) Diminution du temps <strong>de</strong> v<strong>en</strong>ti<strong>la</strong>tion mécanique (16 vs 10j) Diminution du temps <strong>de</strong> séjour <strong>en</strong> réa
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