Non-Invasive Mechanical Ventilation (NIV) has been increasingly used in the treatment of acute respiratory failure. Notwithstanding failure rates still remains high, ranging from 5% to 60%. The onset of delirium, agitation, pain and dyspnea may contribute to reduce the success rate of non invasive ventilation treatment. The aim of this study is to assess the incidence and impact of delirium, agitation, pain and dyspnea on clinical outcomes in a population of patient admitted to Respiratory Intensive Care Unit undergoing Non-Invasive Mechanical Ventilation for Acute Respiratory Failure.
Study Type
OBSERVATIONAL
Enrollment
92
To systematically assess the onset of delirium, quantify the level of agitation/sedation, estimate the grade of pain and survey the level of dyspnea in patients undergoing non invasive mechanical ventilation
Azienda Ospedaliero Universitaria Policlinico di Modena
Modena, Italy
RECRUITINGIncidence of delirium
The onset of delirium will be assessed through the Confusion Assessment Method for Intensive Care Unit 7 scale, ranges 0-7, values \> 2 indicate the presence of delirium
Time frame: 7 days from Respiratory Intensive Care Unit admission
Incidence of agitation
The onset of delirium will be assessed through the Richmond Agitation Sedation Scale ranges +4 to -5, values \> 0 indicate the presence of agitation, values \< 0 indicate the presence of sedation
Time frame: 7 days from Respiratory Intensive Care Unit admission
Incidence of pain
The onset of delirium will be assessed through the Behavioral Pain Scale, ranges 3-12, values \> 4 indicate the presence of pain
Time frame: 7 days from Respiratory Intensive Care Unit admission
Incidence of dyspnea
The onset of delirium will be assessed through the Borg scale, ranges 0-10, values \> 0 indicate the presence of dyspnea
Time frame: 7 days from Respiratory Intensive Care Unit admission
The impact of delirium on Non Invasive Ventilation Success
The correlation between the onset of delirium and the failure rates of Non Invasive Ventilation Treatment will be assessed
Time frame: 30 days from Respiratory Intensive Care Unit admission
The impact of agitation on Non Invasive Ventilation Success
The correlation between the onset of agitation and the failure rates of Non Invasive Ventilation Treatment will be assessed
Time frame: 30 days from Respiratory Intensive Care Unit admission
The impact of pain on Non Invasive Ventilation Success
The correlation between the onset and level of pain and the failure rates of Non Invasive Ventilation Treatment will be assessed
Time frame: 30 days from Respiratory Intensive Care Unit admission
The impact of dyspnea on Non Invasive Ventilation Success
The correlation between the onset and level of dyspnea and the failure rates of Non Invasive Ventilation Treatment will be assessed
Time frame: 30 days from Respiratory Intensive Care Unit admission
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