Authors: Alexandre Demoule Emmanuelle Girou JeanChristophe Richard Solenne Taillé Laurent Brochard
Publish Date: 2006/06/24
Volume: 32, Issue: 11, Pages: 1747-1755
Abstract
Overall 1076 patients received ventilatory support 55 of admissions Firstline NIV was significantly more common than 5 years earlier overall 23 vs 16 and especially in patients not intubated before ICU admission 52 vs 35 Reasons for respiratory failure were coma 33 cardiogenic pulmonary edema 8 acuteonchronic respiratory failure 17 and de novo respiratory failure 41 Significant increases in NIV use were noted for acuteonchronic respiratory failure 64 vs 50 and de novo respiratory failure 22 vs 14 Among patients given NIV 38 subsequently required endotracheal intubation not significantly different Independent risk factors for NIV failure were high SAPS II and de novo respiratory failure whereas factors associated with success were good NIV tolerance and high body mass indexNIV use has significantly increased in French ICUs during the past 5 years and the success rate has remained unchanged In patients not previously intubated NIV is the leading firstline ventilation modality The proportion of patients successfully treated with NIV increased significantly over the 5year period 13 vs 9 of all patients receiving ventilatory supportPhysicians and centers participating in the study Angers Centre Hospitalier Universitaire A Kouatchet MD A Mercat MD Argenteuil Hôpital Victor Dupouy G Bleichner MD H Mentec MD Arles Centre Hospitalier J Imbert C Crombé MD D Selzer MD Aubenas Centre Hospitalier P Fernandez MD Beaune Hôpital Philippe le Bon P Noël MD Belfort Centre Hospitalier de BelfortMontbéliard O Ruyer MD Bordeaux Hôpital Pellegrin Tripode G Hilbert MD F Vargas MD BoulogneBillancourt Hôpital AmbroiseParé S Prin MD A VieillardBaron MD Brest CHU la Cavale Blanche A Renault MD E lHer MD Briis Sous Forges CMC Bligny P Andrivet MD Calais Centre Hospitalier de Calais K Guego MD H Peneau MD Clamart Hôpital Antoine Béclère F Brivet MD F Jacobs MD Colombes Hôpital Louis Mourier D Dreyfuss MD JD Ricard MD CorbeilEssonnes Centre Hospitalier Sud Francilien D Caen MD D Larbi MD Créteil Centre Hospitalier Intercommunal O Gilhodes MD Dieppe Centre Hospitalier de Dieppe M Pinsard MD F Bougerol MD Dourdan Centre Hospitalier Général JP Colin MD Draguignan Centre Hospitalier P Brofferio MD Elbeuf Centre Hospitalier M Canonne MD O Delastre MD Etampes Centre Hospitalier dEtampes S Percheron MD S Siami MD Fréjus CHI Fréjus SaintRaphaël M Kaidomar MD A Besançon MD Garches Hôpital Raymond Poincaré D Annane MD D Orlikowski MD Helfaut Centre Hospitalier de la Région de SaintOmer B Sergent MD La Roche sur Yon CH Départemental E Clementi MD L Martin Lefèvre MD Le Kremlinbicêtre Hôpital de Bicêtre V Zarka MD C Richard MD Le Plessis Robinson Centre Chirurgical Marie Lannelongue I Auriant MD F Parquin MD Lyon Hôpital de la Croix Rousse C Guerin MD Mâcon Centre Hospitalier de Mâcon D Debatty MD Marseille CHU La Conception J Billot MD Maubeuge Hôpital SambreAvesnois W Joos MD Meaux Centre Hospitalier A Combes MD Metz Hôpital Bon Secours T Jacques MD JF Poussel MD Montpellier Hôpital Gui de Chauliac L Landreau MD Montpellier Hôpital Lapeyronie P Chardon MD JP Roustan MD Montreuil Centre Hospitalier André Grégoire E Obadia MD JL Pallot MD Moulins Centre Hospitalier MoulinsYzeure F Nicolas MD Nancy Hôpital Central A Cravoisy MD Nantes Hôpital Laennec S Chollet MD JR Ordronneau MD Niort Centre Hospitalier de Niort F Barraud MD Oloron Sainte Marie Centre Hospitalier Général JM Mazou MD Y Gauthier MD Orléans Centre Hospitalier Régional T Boulain MD I Runge MD Orsay Centre Hospitalier Général dOrsay D Benichou MD Paris Fondation Hôpital St Joseph J Carlet MD W Marie MD Paris Groupe Hospitalier PitiéSalpêtrière A Duguet MD H Prodanovic MD T Similowski Paris Hôpital Bichat Claude Bernard F Schortgen MD JF Timsit MD Paris Hôpital Cochin JD Chiche MD N Nciri MD Paris Hôpital Européen Georges Pompidou JL Diehl MD E Guerot MD Paris Hôpital SaintAntoine E Maury MD G Offenstadt MD Paris Hôpital SaintLouis E Azoulay MD G Thiery MD Paris Hôpital Tenon M Fartoukh MD F Vincent MD Paris Hôtel Dieu A Lefebvre MD A Rabbat MD Pessac Clinique Mutualiste R Bedry MD Poissy CHI PoissySaintGermain S Delerme MD JC Lacherade MD Poitiers Centre Hospitalier Universitaire D Chatellier MD Pontoise Centre Hospitalier René Dubos J Richecoeur MD Rambouillet Centre Hospitalier de Rambouillet N Fadel MD Reims Hôpital Robert Debré J Cousson MD Reims Polyclinique SaintAndré JC Farkas MD B Lafon MD Roanne Centre Hospitalier P Beuret MD Roubaix Hôpital Victor Provo P Herbecq MD M Nyunga Makenga MD Rouen CHU Hôpital Charles Nicolle J Aboab MD G Minaret MD SaintGermain en Laye CHI PoissySaintGermain JL Ricome MD Saintes Centre Hospitalier Y Lefort MD Suresne Hôpital Foch M Djibre MD Tulle Centre Hospitalier O Hirtz MD Valence Centre Hospitalier JY Petit MD Villefranche sur Saone Centre Hospitalier Général L Liron MD Villejuif Institut Gustave Roussy F Blot MD
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