2018, Cilt 10, Sayı 2, Sayfa(lar) 062-066
Efficiency of noninvasive mechanical ventilation and high flow nasal oxygen therapy in moderate acute respiratory distress syndrome due to pneumonia: two case reports
Tülay Örki1, Lale Kurul Özcan2, Deniz Avan1
1Kartal Koşuyolu Y.İ. E.A.Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, Türkiye
2Özel Göztepe Hastanesi, Yoğun Bakım Ünitesi, İstanbul, Türkiye
Keywords: Acute Respiratory Distress Syndrome (ARDS), noninvasive mechanical ventilation (NIMV), high-flow nasal oxygen (HFNC), pneumonia

Acute Respiratory Distress Syndrome (ARDS) is hypoxemic respiratory failure that is characterized by non-cardiac pulmonary edema secondary to increased vascular permeability. It is associated with increased mortality and morbidity. The important cilinical features of ARDS are; new or worsening symptoms during the past week, bilateral radiological infiltrations, hypoxemia refractory to oxygen therapy. Community-acquired pneumonia (CAP) is he most common cause of ARDS in out-patients. Noninvasive mechanical ventilation (NIMV) and / or high-flow nasal oxygen (HFNC) therapy should be applied before intubation in selected patients and the early phases of ARDS but invasive mechanical ventilation (IMV) should not be delayed if the patient deteriorates. We report to demonstrate efficiency of NIMV and HFNC in two cases with moderate ARDS due to CAP