Administration of inhaled medications during noninvasive ventilation and/or tracheostomy

Objectives: To describe the clinical and demographic profile of hospitalized patients undergoing noinvasive ventilation (NIV) and/or tracheostomy (TQT) with prescription of the pressurized inhaler (pMDI) and the difficulties and interventions performed to adapt the inhalation technique. Methods: Th...

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Autores principales:	Kathleen ASTURIAN, Maria A. FERREIRA
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	administration inhalation respiratory therapy noninvasive ventilation tracheostomy Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/381218988d7c4220912ab816b2268e21
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spelling	oai:doaj.org-article:381218988d7c4220912ab816b2268e212021-11-28T02:45:17ZAdministration of inhaled medications during noninvasive ventilation and/or tracheostomy10.30968/rbfhss.2020.111.03722179-59242316-7750https://doaj.org/article/381218988d7c4220912ab816b2268e212020-07-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/372https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objectives: To describe the clinical and demographic profile of hospitalized patients undergoing noinvasive ventilation (NIV) and/or tracheostomy (TQT) with prescription of the pressurized inhaler (pMDI) and the difficulties and interventions performed to adapt the inhalation technique. Methods: This is an observational, retrospective and descriptive study of a series of cases, carried out in three clinical units of a university hospital in the years 2017 and 2018. Results: We analyzed data from 25 patients who received NIV and/or TQT for whom guidance has been requested from the Inhalation Techniques Guidance and Training Group (GOTTI). Of these, 15 patients (60%) were using NIV, 5 (20%) were tracheostomized and 5 (20%) were tracheostomized with NIV. The difficulties identified in these patients were insecurity in removing the support, preference for nebulization, adaptation of the pMDI to the cannula and asynchrony between the jet firing and the beginning of inspiration. Conclusions: The use of aero-chamber coupled to the pMDI and tidal volume were the mostly made interventions. Masks and guidelines on the access route to the ventilation system were adapted in most cases This group of patients has particularities and difficulties in the inhalation technique that justify a specific educational intervention by professionals with more in-depth knowledge in the area. Kathleen ASTURIANMaria A. FERREIRASociedade Brasileira de Farmácia Hospitalar e Serviços de Saúdearticleadministrationinhalationrespiratory therapynoninvasive ventilationtracheostomyPublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 11, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	administration inhalation respiratory therapy noninvasive ventilation tracheostomy Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	administration inhalation respiratory therapy noninvasive ventilation tracheostomy Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Kathleen ASTURIAN Maria A. FERREIRA Administration of inhaled medications during noninvasive ventilation and/or tracheostomy
description	Objectives: To describe the clinical and demographic profile of hospitalized patients undergoing noinvasive ventilation (NIV) and/or tracheostomy (TQT) with prescription of the pressurized inhaler (pMDI) and the difficulties and interventions performed to adapt the inhalation technique. Methods: This is an observational, retrospective and descriptive study of a series of cases, carried out in three clinical units of a university hospital in the years 2017 and 2018. Results: We analyzed data from 25 patients who received NIV and/or TQT for whom guidance has been requested from the Inhalation Techniques Guidance and Training Group (GOTTI). Of these, 15 patients (60%) were using NIV, 5 (20%) were tracheostomized and 5 (20%) were tracheostomized with NIV. The difficulties identified in these patients were insecurity in removing the support, preference for nebulization, adaptation of the pMDI to the cannula and asynchrony between the jet firing and the beginning of inspiration. Conclusions: The use of aero-chamber coupled to the pMDI and tidal volume were the mostly made interventions. Masks and guidelines on the access route to the ventilation system were adapted in most cases This group of patients has particularities and difficulties in the inhalation technique that justify a specific educational intervention by professionals with more in-depth knowledge in the area.
format	article
author	Kathleen ASTURIAN Maria A. FERREIRA
author_facet	Kathleen ASTURIAN Maria A. FERREIRA
author_sort	Kathleen ASTURIAN
title	Administration of inhaled medications during noninvasive ventilation and/or tracheostomy
title_short	Administration of inhaled medications during noninvasive ventilation and/or tracheostomy
title_full	Administration of inhaled medications during noninvasive ventilation and/or tracheostomy
title_fullStr	Administration of inhaled medications during noninvasive ventilation and/or tracheostomy
title_full_unstemmed	Administration of inhaled medications during noninvasive ventilation and/or tracheostomy
title_sort	administration of inhaled medications during noninvasive ventilation and/or tracheostomy
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/381218988d7c4220912ab816b2268e21
work_keys_str_mv	AT kathleenasturian administrationofinhaledmedicationsduringnoninvasiveventilationandortracheostomy AT mariaaferreira administrationofinhaledmedicationsduringnoninvasiveventilationandortracheostomy
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Administration of inhaled medications during noninvasive ventilation and/or tracheostomy

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