Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland
Background: Acute respiratory failure is becoming a frequent phenomenon in the emergency department due to increasing life expectancy, and in the last two decades the number of presentations has more than doubled. Non-invasive ventilation has become the treatment modality of choice in selected patie...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Division of General Surgery
2022
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867614158903574528 |
|---|---|
| access_status_str | Open Access |
| author | Matalasi, Retselisitsoe Vincent |
| author2 | Hodkinson, Peter |
| author_browse | Hodkinson, Peter Matalasi, Retselisitsoe Vincent |
| author_facet | Hodkinson, Peter Matalasi, Retselisitsoe Vincent |
| author_sort | Matalasi, Retselisitsoe Vincent |
| collection | Thesis |
| description | Background: Acute respiratory failure is becoming a frequent phenomenon in the emergency department due to increasing life expectancy, and in the last two decades the number of presentations has more than doubled. Non-invasive ventilation has become the treatment modality of choice in selected patients, with a significant reduction of mortality in these cases. However, adequate monitoring of clinical and blood gas parameters is crucial to ensure treatment targets are met. Objective: This study aims to evaluate monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation (NIV) in the ED in Sligo University Hospital. As a secondary objective, the study aims to evaluate how monitoring data influence treatment modification. Methodology: This was a retrospective chart review of 50 patients who presented to the ED in acute respiratory failure and were treated with non-invasive ventilation between September 2017 and March 2019. Results: A total of 50 charts were analysed, 62% female and 38% male. The average age for both genders was 76 years. Results showed that initial and ongoing monitoring of vital signs remained guideline compliant throughout the entire duration of NIV in the ED. All but one patient out of 50 had an initial blood gas analysis done prior to initiation of NIV treatment, while repeat blood gas analysis was inconsistent with 38% (n= 19) who did not have blood gas repeated. Conclusion: The study highlights the discrepancy between monitoring of vital signs and arterial blood gas during treatment of acute respiratory failure patients with non-invasive ventilation in the emergency department. A proforma may help bridge this gap to ensure a standardised care in order to improve treatment outcomes. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/35859 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:47:36.303Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/35859 An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland Matalasi, Retselisitsoe Vincent Hodkinson, Peter Sweeney Michael Emergency medicine general surgery Background: Acute respiratory failure is becoming a frequent phenomenon in the emergency department due to increasing life expectancy, and in the last two decades the number of presentations has more than doubled. Non-invasive ventilation has become the treatment modality of choice in selected patients, with a significant reduction of mortality in these cases. However, adequate monitoring of clinical and blood gas parameters is crucial to ensure treatment targets are met. Objective: This study aims to evaluate monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation (NIV) in the ED in Sligo University Hospital. As a secondary objective, the study aims to evaluate how monitoring data influence treatment modification. Methodology: This was a retrospective chart review of 50 patients who presented to the ED in acute respiratory failure and were treated with non-invasive ventilation between September 2017 and March 2019. Results: A total of 50 charts were analysed, 62% female and 38% male. The average age for both genders was 76 years. Results showed that initial and ongoing monitoring of vital signs remained guideline compliant throughout the entire duration of NIV in the ED. All but one patient out of 50 had an initial blood gas analysis done prior to initiation of NIV treatment, while repeat blood gas analysis was inconsistent with 38% (n= 19) who did not have blood gas repeated. Conclusion: The study highlights the discrepancy between monitoring of vital signs and arterial blood gas during treatment of acute respiratory failure patients with non-invasive ventilation in the emergency department. A proforma may help bridge this gap to ensure a standardised care in order to improve treatment outcomes. 2022-02-28T09:22:25Z 2022-02-28T09:22:25Z 2021 2022-02-28T09:20:51Z Master Thesis Masters MPhil http://hdl.handle.net/11427/35859 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | Emergency medicine general surgery Matalasi, Retselisitsoe Vincent An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland |
| thesis_degree_str | Master's |
| title | An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland |
| title_full | An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland |
| title_fullStr | An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland |
| title_full_unstemmed | An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland |
| title_short | An evaluation of monitoring of respiratory physiological parameters in patients treated with non-invasive ventilation in the emergency department in Sligo University Hospital in Ireland |
| title_sort | evaluation of monitoring of respiratory physiological parameters in patients treated with non invasive ventilation in the emergency department in sligo university hospital in ireland |
| topic | Emergency medicine general surgery |
| url | http://hdl.handle.net/11427/35859 |
| work_keys_str_mv | AT matalasiretselisitsoevincent anevaluationofmonitoringofrespiratoryphysiologicalparametersinpatientstreatedwithnoninvasiveventilationintheemergencydepartmentinsligouniversityhospitalinireland AT matalasiretselisitsoevincent evaluationofmonitoringofrespiratoryphysiologicalparametersinpatientstreatedwithnoninvasiveventilationintheemergencydepartmentinsligouniversityhospitalinireland |