Correlation in the use of invasive and non-invasive mechanical ventilation

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.