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Introduction: Is the number of invasively ventilated patients reduced by the timely application of non-invasive mechanical ventilation Aims: To see whether the number of patients undergoing invasive mechanical ventilation has decreased since the initiation of non-invasive ventilation. Method: At the Department for Respiratory Diseases, ICU we monitored patients who used non-invasive ventilation from year 2012 to year 2018. The parameters we recorded are the diagnosis under which the patient was admitted, the time spent on mechanical ventilation, the type of interface the patient uses, the change of interface and the reason for the change, the range of saturation, the state of consciousness, and the evaluation. Results: In 2012, out of a total of 613 patients in the intensive care unit, 2% of patients used non-invasive ventilation, 11.4% of patients used invasive mechanical ventilation, and 1.1% of patients used the combination of invasive and non-invasive. The number of invasive ventilated patients decreases over the years and the number of non-invasively ventilated patients increases. In 2018, out of a total of 510 patients, 7.6% were invasively mechanically ventilated, a combination of invasive and non-invasive was performed by 3.3% of patients, and 10.2% of patients were non-invasively ventilated. Conclusion: In six years we can conclude that the use of non-invasive ventilation reduces the number of invasive ventilation. The success of NIV therapy increases with the growth of the overall team experience.

Background: Are there statistically significant differences in anxiety and depression between the COPD patients admitted in ICU and hospital ward Aims: To compare presence of anxiety and depression in hospitalized patients with COPD and to determine the correlation of the data between the patients admitted in ICU and hospital ward. Method: A prospective trial was conducted at the Clinic for lung diseases on a sample of hospitalized patients with COPD in ICU(N=35), and hospital ward (N=15), in order to determine presence of anxiety and depression and compare data between the patients admitted in ICU and hospital ward. These are the results from May to July 2016. Criteria for the selection of COPD patients: monitored by our clinic and 40 – 80 years of life. For the study were used the following measuring instruments: Hospital Anxiety and Depression Scale (HADS). Questions that were additionally included in the questionnaire are general sociodemographic data, and data on the basic characteristics and duration of the disease. Results: There were no statistically significant differences on the presence of anxiety and depression, regardless of the number of days of hospitalization. Subjects who were in the ICU ward, a statistically significant were more anxious than those subjects who were in hospital ward. On mechanical ventilation, were 6 subjects (12%) (N=35). Subjects who were mechanically ventilated statistically were more anxious. Conclusion: According to the obtained data, we can conclude during admission COPD patients to the ICU there was a higher risk of developing anxiety and depression, additionally in those on mechanical ventilation increases the likelihood of developing the same discomfort.