Letter to the Editor
Reply to Comments on «Characteristics of prolonged non-invasive ventilation in hospital emergency departments and their impact on efficacy. Analysis of the VNICat registry»
Respuesta a puntualizaciones sobre «Características de la ventilación no invasiva prolongada en los servicios de urgencias hospitalarios y su impacto en la eficacia. Análisis del registro VNICat»
a Servicio de Urgencias, Hospital Universitari de Bellvitge, IDIBELL, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain
b Servicio de Urgencias, Hospital de Viladecans, Barcelona, Spain
c Servicio de Urgencias, Xarxa Assistencial de Manresa, Fundació Althaia, Manresa, Barcelona, Spain
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Analysis of the VNICat registry»" "tieneTextoCompleto" => true "saludo" => "Dear Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "659" "paginaFinal" => "660" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Jacob Rodríguez, M. Arranz Betegón, J. Zorrilla Riveiro" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Jacob Rodríguez" "email" => array:1 [ 0 => "jjacob@bellvitgehospital.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Arranz Betegón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Zorrilla Riveiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Universitari de Bellvitge, IDIBELL, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital de Viladecans, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Urgencias, Xarxa Assistencial de Manresa, Fundació Althaia, Manresa, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a puntualizaciones sobre «Características de la ventilación no invasiva prolongada en los servicios de urgencias hospitalarios y su impacto en la eficacia. Análisis del registro VNICat»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In the first place, we wish to express our appreciation for the comments and interest shown by Gil et al.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> towards our work.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Also, we wish to thank the editor for giving us the opportunity to answer back. Although it is true that the model of ventilator was never included in our study, we do know that they were all specific ventilators for non-invasive ventilation. Also, although the programming of the different parameters involved varies from one model to the next, like they say, the actual ventilation support comes from the support pressure that results from programming. Regarding the EPAP (expiratory positive airway pressure) and CPAP (continuous positive airway pressure) values, their mechanical meaning is different, and it is true that this variable could have been shown separately on the table, which is why we wish to share the results now. CPAP values (cmsH2O): mean (SD) was 7.36 (2.20) in the NIV-HEU group (non-invasive ventilation at the hospital emergency unit)<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>12<span class="elsevierStyleHsp" style=""></span>h and 6.71 (1.98) in the NIV-HEU group 12<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>h; <span class="elsevierStyleItalic">P</span> value<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.526; EPAP values (cmsH2O): mean (SD) was 6.67 (1.45) in the NIV-HEU group<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>12<span class="elsevierStyleHsp" style=""></span>h and 6.36 (1.12) in the NIV-HEU group 12<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>h; <span class="elsevierStyleItalic">P</span> value<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.223.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The variables associated with the patients’ clinical situation and arterial blood gas test were collected. They were grouped by type of acute respiratory failure, specific arterial blood gas test data, arterial oxygen tension, carbon dioxide, and pH. No significant differences were seen between the 2 groups under comparison. Poor secretion control or interphase rejection were not specifically included.</p><p id="par0015" class="elsevierStylePara elsevierViewall">One of the main aspects of the VNICat registry (Non-invasive ventilation in Catalonia)<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> was that only 17% of the cases recruited (N<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>27) were referred to hospitalization units with non-invasive ventilation still as part of the ventilation support therapy. This circumstance seems routine at the emergency services like other studies conducted in our setting reveal.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Although this situation can be taken as a failure, it is not a technical failure, which is what we assessed in our study, but as an organization failure of the flows of participant centers. Therefore, what we say in our conclusion is of paramount importance, that the flows of these patients need to become standardized based on the resources available to make sure that a proper transition takes place. Actually, let’s go one step further. This should not be based on the resources available at all, but, as the go-to health professionals, we need to demand the existence and availability of these resources.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Puntualizaciones sobre Características de la ventilación no invasiva prolongada en los servicios de urgencias hospitalarios y su impacto en la eficacia. Análisis del registro VNICat" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "V. Gil" 1 => "J.M. Carratalá-Perales" 2 => "J.A. Andueza" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Med Intensiva." "fecha" => "2022" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characteristics of prolonged noninvasive ventilation in emergency departments and impact upon effectiveness. Analysis of the VNICat registry" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Arranz" 1 => "J. Jacob" 2 => "M. Sancho-Ramoneda" 3 => "À. Lopez" 4 => "M.C. Navarro-Sáez" 5 => "J.R. Cousiño-Chao" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Med Intensiva (Engl Ed)." "fecha" => "2020" "numero" => "Apr 14" "itemHostRev" => array:3 [ "pii" => "S1474442218300541" "estado" => "S300" "issn" => "14744422" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Grupo de trabajo VMNI-SoCMUE. Estudio de cohortes de pacientes tratados con ventilación no invasiva en servicios de urgencias prehospitalarios y hospitalarios de Cataluña: registro VNICat" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Jacob" 1 => "M. Arranz" 2 => "M. Sancho Ramoneda" 3 => "A. López" 4 => "M.C. Navarro Sáez" 5 => "J.R. Cousiño Chao" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias." "fecha" => "2017" "volumen" => "29" "paginaInicial" => "33" "paginaFinal" => "38" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28825266" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Factores predictivos de fracaso en el destete de la ventilación mecánica no invasiva en urgencias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Cinesi Gómez" 1 => "N. Trigueros Ruiz" 2 => "B. De la Villa Zamora" 3 => "L. Blázquez González" 4 => "P. Piñera Salmerón" 5 => "P. Lázaro Aragües" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias." "fecha" => "2021" "volumen" => "33" "paginaInicial" => "9" "paginaFinal" => "14" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33496394" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Non-invasive ventilation in emergency departments in public hospitals in Catalonia. The VENUR-CAT study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Jacob" 1 => "J. Zorrilla" 2 => "E. Gené" 3 => "G. Alonso" 4 => "P. Rimbau" 5 => "F. Casarramona" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2017.05.002" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva (Engl Ed)." "fecha" => "2018" "volumen" => "42" "paginaInicial" => "141" "paginaFinal" => "150" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28625339" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004600000011/v1_202211050704/S2173572722002594/v1_202211050704/en/main.assets" "Apartado" => array:4 [ "identificador" => "64604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004600000011/v1_202211050704/S2173572722002594/v1_202211050704/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002594?idApp=WMIE" ]
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