title: [Phoning study about postoperative practice and application of non-invasive ventilation].
abstract: OBJECTIVE
  Incidence and management of positive pressure non-invasive ventilation (NIV) in intensive care unit (ICU) in the postoperative period.
  
  
  METHODS
  Phoning study performed on September 2001 in 60 ICU of south of France (public: 47, private: 13, medical: 11, surgical: 20, medical-surgical: 29), which were randomized from a national list.
  
  
  RESULTS
  NIV was used currently on 55% and casually on 35% of the units. Ten percent of ICU, which never use NIV, were surgical on 83% with a lower number of bed (7 +/- 3 vs. 12 +/- 5). The most often humidification device used was a Heat and Moisture Exchanger (HME) (52%), a Heated Humidifier (HH) (26%), either (4%) and none device (19%). ICU that never used a humidification device used a home ventilator in 30%. Ventilators used were more often heavy ICU ventilators (80%) with a facial mask (89%). NIV was performed exclusively by physicians in 15% of cases and in collaboration after the first application in 71% of cases. Sixty-nine % of intensivists used NIV as a first choice for the treatment of acute postoperative respiratory failure and 54% of intensivists for the treatment of postoperative atelectasis.
  
  
  CONCLUSIONS
  Use of NIV increases in ICU, particularly in surgical units. Practices are different between ICU. An HME is the most frequently humidification device used.
authors.affiliation: Unité de réanimation et de transplantation, département d'anesthésie-réanimation B, hôpital Saint-Eloi, CHU de Montpellier, 34295 Montpellier 5, France. g-chanques@chu-montpellier.fr
authors.forename: G
authors.initials: G
authors.lastname: Chanques
authors.forename: S
authors.initials: S
authors.lastname: Jaber
authors.forename: J M
authors.initials: JM
authors.lastname: Delay
authors.forename: P F
authors.initials: PF
authors.lastname: Perrigault
authors.forename: J Y
authors.initials: JY
authors.lastname: Lefrant
authors.forename: J J
authors.initials: JJ
authors.lastname: Eledjam
mesh_terms: D003625:Data Collection; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006813:Humidity; D007362:Intensive Care Units; D011182:Postoperative Care / Q000706:statistics & numerical data*; D012121:Respiration, Artificial / Q000295:instrumentation / Q000706:statistics & numerical data*; D013689:Telephone