ROX Index in Acute Respiratory Failure

Role of ROX Index as an Indicator for Non-invasive Ventilation in Acute Respiratory Failure

evaluation of ROX index among ICU patients to evaluate the success of non invasive ventilation or the need for intubation

Inclusion Criteria:

• Participants admitted to RICU with type I and type II respiratory failure requiring NIV support with one or more of the following :

  1. PaO2/FiO2 less than or equal to 300 mmHg despite supplying oxygen at a flow rate ≥ to 10 l/min for ≥ 15 min
  2. Patients requiring ventilatory support due to increased respiratory rate ≥ 25 breaths/min or using accessory muscles of respiration

Exclusion Criteria:

• 1. Absolute indication for intubation like coma, hemodynamic instability, or life-threatening arrhythmia.

  2. Contraindication to NIV like untreated pneumothorax, pneumothorax with air leak, widespread facial burn or trauma, tracheotomy,or active upper gastrointestinal bleeding.

  3. Resusal to participate in the study