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document
A study of noninvasive positive-pressure mechanical ventilation in the treatment of acute lung injury with a complex critical care ventilator . OBJECTIVE To test the hypothesis that there would be better clinical outcomes following the treatment of patients with acute lung injury ( ALI ) using noninvasive positive-pressure mechanical ventilation ( NIPPV ) delivered via a complex critical care ventilator compared with a conventional mini-ventilator . METHODS Patients with ALI who required NIPPV were prospectively enrolled and randomly divided between three intervention groups : group A was ventilated using a mini-ventilator ; groups B and C were ventilated using a complex critical care ventilator using different settings . Clinical parameters were recorded before and after 8 h of mechanical ventilation . RESULTS A total of 51 patients with ALI were enrolled in the study . Clinical parameters in groups B and C underwent greater improvements than those in group A . Group C demonstrated the lowest treatment failure rate ( 23.5 % ) . Failure rates were highest in group A ( 58.8 % ) . CONCLUSION The findings of this present study suggest that there were more satisfactory clinical outcomes following the treatment of patients with ALI when NIPPV was delivered using a complex critical care ventilator compared with a conventional mini-ventilator .
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Intervention_Surgical
noninvasive positive-pressure mechanical ventilation
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Intervention_Physical
noninvasive positive-pressure mechanical ventilation ( NIPPV ) delivered via a complex critical care ventilator compared with a
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Intervention_Control
conventional mini-ventilator
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Intervention_Physical
mini-ventilator
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Intervention_Physical
complex critical care ventilator using different settings
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Outcome_Physical
Clinical parameters
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Outcome_Other
treatment failure rate
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Outcome_Other
Failure rates
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Outcome_Physical
clinical outcomes