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VOLUME 12 , ISSUE 4 ( December, 2008 ) > List of Articles

ORIGINAL ARTICLE

Noninvasive ventilation: A survey of practice patterns of its use in India

Vijai Kumar, Laurent Brochard, U. S. Sidhu, Shruti Nagarkar, Rajesh Chawla

Keywords : Noninvasive ventilation, questionnaire-based study, survey

Citation Information : Kumar V, Brochard L, Sidhu US, Nagarkar S, Chawla R. Noninvasive ventilation: A survey of practice patterns of its use in India. Indian J Crit Care Med 2008; 12 (4):163-169.

DOI: 10.4103/0972-5229.45076

License: CC BY-ND 3.0

Published Online: 00-12-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and Aims: To understand the practice patterns of noninvasive ventilation (NIV) use by Indian physicians. Subjects and Methods: Around three thousand physicians from all over India were mailed a questionnaire that could capture the practice patterns of NIV use. Results: Completed responses were received from 648 physicians (21.6%). Majority (n = 469, 72.4%, age 40 ± 9 years, M:F 409:60) use NIV in their clinical practice. NIV was most exclusively being used in the ICU setting (68.4%) and the commonest indication for its use was chronic obstructive pulmonary disease (COPD) (71.4%). A significant number did not report use of a conventional ventilator for NIV support (62%). Oronasal mask was the overwhelming favorite among the sampled physicians (68.2%). In most of the cases, the treating physician initiated NIV (60.8%) and a baseline blood gas analysis was performed in only 71.1% of the cases (315/443). Nasal bridge pressure sores was the commonest complication (64.2%). Conclusions: NIV is being widely used in clinical practice in India for various indications. COPD is the most common indication for its deployment. There seems to be a marked variability in the patterns relating to actual deployment of NIV, including the site of initiation, protocols for initiation followed, and monitoring of patients.


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