@article{Salvadè_Domenighetti_Jolliet_Maggiorini_Rothen_2012, title={Perception of non-invasive ventilation in adult Swiss intensive care units}, volume={142}, url={https://smw.ch/index.php/smw/article/view/1461}, DOI={10.4414/smw.2012.13551}, abstractNote={<p><p>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.</p> <p>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 <em>do-not-intubate</em> 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%).</p> <p>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 <em>do-not-intubate</em> conditions as an important additional indication.</p></p>}, number={1314}, journal={Swiss Medical Weekly}, author={Salvadè, Igor and Domenighetti, Guido and Jolliet, Philippe and Maggiorini, Marco and Rothen, Hans-Ueli}, year={2012}, month={Mar.}, pages={w13551} }