TYPE 2 RESPIRATORY FAILURE AND LUNG RECRUITERS IN ICU SETUP: A ONE-YEAR OBSERVATIONAL STUDY.

Authors

  • Devendra Prasad Singh  Professor and Head, Department of Medicine, Angika Hospital and Research Centre, Patal Babu Road, Bhagalpur, Bihar, India
  • Rajeev Ranjan Director, Chest Hospital, Chapra, Bihar, India
  • Utkarsh Singh  Resident, Department of Pulmonary Medicine, Bharati Vidhiyapeeth Medical College, Pune, Maharashtra, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1105

Keywords:

Type 2 Respiratory Failure, Lung Recruiters, Intensive Care Unit, Chronic obstructive pulmonary disease

Abstract

Background:

Respiratory failure is a critical condition commonly encountered in intensive care units (ICUs), with Type 2 Respiratory Failure (T2RF) posing significant challenges in management. This study investigates the correlation between T2RFand the effectiveness of lung recruiters in an ICU setting through a one-year observational study.

Methods:

The study employed an observational design and was conducted and 80 individuals meeting inclusion criteria were enrolled, while standardized data collection procedures were implemented to minimize bias. Demographic, clinical, and respiratory support data were collected and analyzed using SPSS version 21.0.

Results:

Participant characteristics revealed a mean age of 65 years (± 8.2), with 65% being male. Various degrees of COPD severity were observed, with significant p-values associated with severe COPD (p<0.001) and AE-COPD (p<0.001). Upon ICU admission, participants exhibited clinical features indicative of T2RF, including mean PaO2 of 55 mmHg (± 10.2), PaCO2 of 65 mmHg (± 8.5), and pH of 7.28 (± 0.03). Statistical analysis revealed significant associations between the use of lung recruiters and improvements in oxygenation (χ²=18.23, p<0.001) and reductions in PaCO2 levels (χ²=15.87, p<0.001). Among participants who received lung recruitment strategies, 75% demonstrated improvements in oxygenation, while 65% experienced a decrease in PaCO2 levels. Complications such as ventilator-associated pneumonia occurred in 15% of cases.

Conclusion:

The study underscores the importance of tailored interventions for T2RFin the ICU. Lung recruiters showed efficacy in improving respiratory parameters, with implications for optimizing patient outcomes. Vigilant monitoring for complications remains imperative.

Recommendations:

Future research should focus on refining management strategies and exploring additional interventions to enhance patient care in T2RF. Additionally, investigating long-term outcomes and the impact of early intervention on mortality and morbidity rates could further guide clinical practice in ICU settings.

Published

2024-03-30

How to Cite

Singh, D. P., Ranjan, R. ., & Singh, U. . (2024). TYPE 2 RESPIRATORY FAILURE AND LUNG RECRUITERS IN ICU SETUP: A ONE-YEAR OBSERVATIONAL STUDY. Student’s Journal of Health Research Africa, 5(3). https://doi.org/10.51168/sjhrafrica.v5i3.1105

Issue

Section

Section of General Medicine Research