Status quo of noninvasive ventilation (NIV) in German emergency departments Status quo der nichtinvasiven Beatmung (NIV) in deutschen Notaufnahmen
Huber T, Schuh C, Rupprecht H, Sellmann T, Worth H, Dormann H (2020)
Publication Type: Journal article
Publication year: 2020
Journal
Book Volume: 23
Pages Range: 113-121
Journal Issue: 2
DOI: 10.1007/s10049-019-0595-z
Abstract
Background: The evidence of non-invasive ventilation (NIV) in patients with acute respiratory failure has been very well documented. NIV has become more relevant in the pre-hospital phase and on intensive care units, as well as in emergency departments. Objectives: The aim of this study is to provide, for the first time, an overview of the availability, implementation and acceptance of NIV at German emergency departments. Furthermore, we present the preset of the NIV respirators and the usage of analgo-sedation during NIV. Materials: In 2017, online questionnaires were sent to 276 emergency departments in Germany with questions on the structure of their hospitals, on the availability of NIV, the use of NIV as well as on acceptance and quality assurance. Results: The questionnaire return rate was 45.3%. NIV is currently available in 72.0% of the emergency departments, whereas 59.0% introduced NIV within the last five years. With 94.6%, the NIV prevalence was highest in the “new federal states”. Higher acceptance rates among employees were found for emergency departments that are under independent medical management and have permanently employed staff. No correlation, however, was found for the level of care a hospital provides. NIV was most frequently used in cases of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) or acute cardiogenic pulmonary edema (ACPE), but also in cases of pneumonia, for palliative care, with dyspnea as leading symptom, on carbon monoxide intoxication, asthma attacks, blunt chest trauma or ketoacidosis. Only 6.3 and 38.5% of the emergency departments maintain NIV-pathways or standard operating procedures, respectively. However, about 61.0% of the emergency departments have defined respirator default settings. Almost three quarters of the participants used analgo-sedation during the NIV adaptation stage. Conclusion: Despite the increasing availability of NIV and frequent indication, the acceptance of NIV at emergency departments is low. Clinical NIV pathways or analgo-sedation protocols are not enough available, yet.
Involved external institutions
Germany (DE)How to cite
APA:
Huber, T., Schuh, C., Rupprecht, H., Sellmann, T., Worth, H., & Dormann, H. (2020). Status quo of noninvasive ventilation (NIV) in German emergency departments Status quo der nichtinvasiven Beatmung (NIV) in deutschen Notaufnahmen. Notfall und Rettungsmedizin, 23(2), 113-121. https://doi.org/10.1007/s10049-019-0595-z
MLA:
Huber, T., et al. "Status quo of noninvasive ventilation (NIV) in German emergency departments Status quo der nichtinvasiven Beatmung (NIV) in deutschen Notaufnahmen." Notfall und Rettungsmedizin 23.2 (2020): 113-121.
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