Maria del Carmen Yuste Bazan
Thurrock Community Team, Spain
Biography
Maria del Carmen Yuste Bazan obtained her Nursing Degree in Cadiz University (Spain) and after that she studied a Post-Degree in Urgency and Emergency in The European University from Madrid (Spain). Currently, she is working in Thurrock Community Team (Grays) as community nurse. Previously she was working two years in Basildon hospital (Basildon) in an acute respiratory ward as registered nurse, three years in a nursing home (WZC Koning Albert I, Dilbeek, Brussel, Belgium) as registered nurse and nine years in emergency ward in Gregorio Marañon Hospital (Madrid, Spain) as emergency nurse.
Abstract
Background: NIV is a type of assisted respiration consisting on a machine that delivers a positive pressure into the lungs without using an invasive artificial airway in order to obtain effective inspirations. Usually, when the therapy starts the patient could refer symptoms like anxiety or discomfort, triggering agitation and doing the therapy ineffective.
Aim: The aim of this study is to observe if giving sedation previous NIV therapy could enhance the efficacy of this treatment.
Methods: For this investigation, qualitative methodology has been used with a literature review design. The scientific search has been done over originals studies which analyse the benefits to provide sedation before NIV treatment. The analysed database have been Lilacs, Pubmed, Chocrane Library and BVC Portal Regional. Sedation and non-invasive ventilation have been used as descriptors. The period of analysis covered from 1st January 2014 until 1st January 2019. Different selection criteria have been applied.
Results: The articles which have passed the review process show that sedation before NIV is beneficial for the patient, decreasing the usual symptoms and the agitation, therefore, increasing the efficacy of the therapy. Some researches state that one of the adverse effects of the sedation is respiratory depression, however, giving an effective dose has not presented any problems. In addition, the administration of sedation before NIV has shown to be cost effective reducing the hospital admission.
Conclusion: Even though the scientific literature surrounding the subject of this investigation is limited, the current research suggests that the use of sedation previous NIV treatment provides more benefits than adverse effects. However, more investigations are required to provide stronger evidences that support these findings.