The use of non- invasive ventilation in asthma exacerbation – a two year retrospective analysis of outcomes
Ravi Manglani, María Landaeta, M. Troya Maldonado, Gregory Hoge, Riyad Basir, Vidya Menon
Abstract
: The rate of failure of NIV overall was low, at 9.17%, with younger patients more likely to fail NIV (P = 0.03) and need invasive mechanical ventilation. Surprisingly, baseline asthma severity did not impact NIV failure rate, and neither did body mass index, smoking history, and a host of clinical characteristics. Understandably, the length of stay was significantly longer in the group of patients that failed NIV. There were no adverse events, such as an increased rate of barotrauma events in either group. In conclusion, this study contributes to the growing body of evidence that NIV is a safe and effective adjunct to routine care in the management of patients with asthma exacerbation.