title: [ESTIMATION OF GAS EXCHANGE IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA DURING NON-INVASIVE VENTILATION].
abstract: The problem of respiratory support due to pneumonia, complicated by severe respiratory failure, both in Ukraine and worldwide is very complex and challenging. More than half of the critical ICU patients undergoing mechanical ventilation, develop nosocomial infection, which can be avoided by using non-invasive ventilation (NIV). But its use in pneumonia is unclear. The aim of the study was to assess the parameters of gas exchange in patients with severe community-acquired pneumonia who were conducted non-invasive ventilation. NIV was performed in 18 patients with severe community-acquired pneumonia. At different stages of respiratory support blood gas analysis was perfodrmed. A statistically significant (P < 0.05) increase in the partial pressure of oxygen in arterial blood was observed during NIV compared to spontaneous breathing--(74.30 ± 18.51) mm Hg vs (47.20 ± 10.46) mm Hg. The mean value of hemoglobin oxygen saturation of arterial blood during spontaneous breathing was (80.4 ± 9.9)%, in the same group with NIV support the value was (94.5 ± 2.6)% (P < 0.05). NIV did not significantly affect the elimination of carbon dioxide and pH levels. NIV in patients with respiratory failure due to severe community-acquired pneumonia ensured adequate gas exchange parameters.
authors.forename: A M
authors.initials: AM
authors.lastname: Sem'iankiv
mesh_terms: D002245:Carbon Dioxide / Q000097:blood; D017714:Community-Acquired Infections / Q000097:blood / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D010100:Oxygen / Q000097:blood; D018410:Pneumonia, Bacterial / Q000097:blood / Q000503:physiopathology / Q000628:therapy*; D011659:Pulmonary Gas Exchange; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000097:blood / Q000503:physiopathology / Q000517:prevention & control*; D012720:Severity of Illness Index
chemical_list: D002245:Carbon Dioxide; D010100:Oxygen