Özet:

Objective: In this study, we aimed to investigate patient compliance and clinical success rates in patients undergoing NIV with AVAPS (Average Volume Assured Pressure Support) mode. This study is Düzce University Scientific Research Project (Project No: 2015.04.03.312). Method: As initial parameters; IPAP Max 20 cm H2O, IPAP Min 12 cm H2O, Target Tidal volume = Ideal weight 6 ml / kg EPAP in AVAPS mode, starting with 5 cm H2O settings and increasing to the extent that the patient is tossed and SaO2 ≥ 90% . Care was taken to ensure that the pressure support supplied to the patient was 6 ml/kg TV. Arterial blood gas controls, pulse rate, respiratory rate and Borg dyspnea were measured at 1, 2, 8 and 24 hours after the NMV adherence of the patients. The results: 72. 7% (n: 16) of 22 patients included in the study had an average age of 70 ± 10. The arrival APACHE Score averageed 16.50 ± 4.24. The number of arriving pulses and respiration were 96 ± 13 and 24 ± 4, respectively. Borg dyspnea scale mean was 6 (min: 2, max: 8). 59% (n: 13) of the patients had undetectable pH values within 24 hours. When PH, PCO2, PaO2 / FiO2 and Borg dyspnea scores of patients before NIV and NIV application values of 1,2,8,24 hours PH, PCO2, PaO2 / FiO2 and Borg dyspnea scores of patients were compared statistically, PH (p <0,001) and Pa02 / FiO2 (p = 0.002), PCO2 and Borg dyspnea scores were decreased (p <0.001, p <0.001), respectively. Significant changes were observed in all of the monitored parameters at 1 hour. Only one of the patients who were followed for 24 hours was entitled to the intensive care unit. No incompatibility was observed in any patient. As a result of service interventions, 95% (n: 21) of the patients could be discharged home. Conclusion: It was observed that patient compliance and clinical success rates were higher in NIV application with AVAPS mode.

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