TY - JOUR AU - Basnet, Madindra Bahadur AU - Acharya, Krishna Prasad AU - Adhikari, Deepak PY - 2020/06/29 Y2 - 2024/03/28 TI - Role of Non-Invasive Mechanical Ventilation for Acute Respiratory Failure in Cancer Patients JF - Nepalese Medical Journal JA - Nep. Med. J. VL - 3 IS - 1 SE - Original Articles DO - 10.3126/nmj.v3i1.28289 UR - https://www.nepjol.info/index.php/nmj/article/view/28289 SP - 298-301 AB - <p><strong>Introduction: </strong>Acute respiratory failure is a common cause of Intensive care Unit admission for cancer patients. Non-invasive ventilation comes in between the two extreme situations: either provide only oxygen or ventilate invasively. This study was done to find the usefulness and efficacy of non-invasive ventilation in a cancer patient.</p><p><strong>Materials and Methods: </strong>A cross-sectional study was done at Nepal Cancer Hospital. Data analysis of patients requiring non-invasive ventilation at the Intensive care Unit from April 14, 2018, to April 13, 2019, were included.</p><p><strong>Results: </strong>Among 68 studied patients, the primary reason for the initiation of non-invasive ventilation sepsis (16.32%), pneumonia (10.88%), and lung cancer (10.2%). Postoperative atelectasis, pulmonary edema, and morphine overdose were associated with good respiratory improvement and Intensive care Unit survival (100%, 75% and 66.67% respectively). Respiratory failure with carcinoma lung, lung fibrosis, acute respiratory distress syndrome, terminally ill patients, and patients with low Glasgow Coma Scale had high failure rates (Survival: 13.33%, 14.29%, 16.67%, 0%, and 20% respectively).</p><p><strong>Conclusions: </strong>Non-invasive ventilation seems to be an effective way of ventilation for cancer patients. The selection of patients and timely initiation of non-invasive ventilation is of utmost importance for a better outcome. &nbsp;</p> ER -