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Original article

Vol. 142 No. 1314 (2012)

Perception of non-invasive ventilation in adult Swiss intensive care units

  • Igor Salvadè
  • Guido Domenighetti
  • Philippe Jolliet
  • Marco Maggiorini
  • Hans-Ueli Rothen
DOI
https://doi.org/10.4414/smw.2012.13551
Cite this as:
Swiss Med Wkly. 2012;142:w13551
Published
25.03.2012

Summary

The real utilisation scenario of non-invasive ventilation (NIV) in Swiss ICUs has never been reported. Using a survey methodology, we developed a questionnaire sent to the directors of the 79 adult ICUs to identify the perceived pattern of NIV utilisation.

We obtained a response rate of 62%. The overall utilisation rate for NIV was 26% of all mechanical ventilations, but we found significant differences in the utilisation rates among different linguistic areas, ranging from 20% in the German part to 48% in the French part (p <0.01). NIV was mainly indicated for the acute exacerbations of COPD (AeCOPD), acute cardiogenic pulmonary edema (ACPE) and acute respiratory failure (ARF) in selected do-not-intubate patients. In ACPE, CPAP was much less used than bi-level ventilation and was still applied in AeCOPD. The first line interface was a facial mask (81%) and the preferred type of ventilator was an ICU machine with an NIV module (69%).

The perceived use of NIV is generally high in Switzerland, but regional variations are remarkable. The indications of NIV use are in accordance with international guidelines. A high percentage of units consider selected do-not-intubate conditions as an important additional indication.

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