[Patient's course requiring NIPPV in Centre Hospitalier Lyon-Sud].
Non-invasive positive pressure ventilation (NIPPV) has become a major therapeutic of acute respiratory failure. Thanks to technical progress, its use has become widespread in intensive care units and now in emergency and pneumology departments, for indications recognized and validated as decompensation of chronic obstructive pulmonary disease and acute cardiogenic pulmonary edema. Patients with this conditions transit in the hospital, from the emergency or pulmonology departments, sometimes through intensive care units. Knowledge of the NIPPV, its indications, contraindications, terms of use and surveillance requires trained teams. This training covers not only the technical but also the hardware, multiple ventilation modes, and interfaces. Other indications being evaluated, such as ventilation in the perioperative period, also require coordination between different actors. The establishment of a specific group of thinking and working around the NIPPV is clearly needed, allowing teams of hospital (emergency department, intensive care unit, pulmonology, anesthesia) to work together. This work deals with different areas: training, equipment, condition of receiving patients in the different services within the constraints of personnel and equipment. In this article, we trace the point of view of each of the professionals in this group and some of the actions implemented.
Service de pneumologie, pavillon médical, centre hospitaliser Lyon-Sud, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France. Electronic address: nathalie.freymond@chu-lyon.fr.
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N
Freymond
Service de pneumologie, pavillon médical, centre hospitaliser Lyon-Sud, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France.
E
E
Perrot
Service d'accueil des urgences, centre hospitalier Lyon-Sud, 69310 Pierre-Bénite, France.
O
O
Regal
Service d'accueil des urgences, centre hospitalier Lyon-Sud, 69310 Pierre-Bénite, France.
J M
JM
Fayet
Service de réanimation, centre hospitalier Lyon-Sud, 69310 Pierre-Bénite, France.
P
P
Ragué
Service de réanimation, centre hospitalier Lyon-Sud, 69310 Pierre-Bénite, France.
N
N
Mottard
Service de réanimation, centre hospitalier Lyon-Sud, 69310 Pierre-Bénite, France.
F
F
Wallet
D000208:Acute Disease; D000075202:Contraindications; D019091:Critical Pathways / Q000458:organization & administration / Q000592:standards; D004632:Emergency Medical Services / Q000458:organization & administration; D005602:France; D006761:Hospitals; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration / Q000592:standards; D063087:Noninvasive Ventilation / Q000592:standards / Q000706:statistics & numerical data*; D015272:Pulmonary Medicine / Q000458:organization & administration / Q000592:standards; D012131:Respiratory Insufficiency / Q000628:therapy*
Acute respiratory failure; Broncho-pneumopathie chronique obstructive; Chronic obstructive pulmonary disease; Insuffisance respiratoire aiguë; Non-invasive positive pressure ventilation; Ventilation non invasive