APACHE II score cannot predict successful weaning from prolonged mechanical ventilation

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APACHE II score cannot predict successful weaning from prolonged mechanical ventilation

At least 5% of all intensive care unit patients require prolonged respiratory support. Multiple factors have been suggested as possible predictors of successful respiratory weaning so far. We sought to verify whether the Acute Physiology and Chronic Health Evaluation II (APACHE II) can predict freedom from prolonged mechanical ventilation (PMV) in patients treated in a regional weaning centre. ...

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Diaphragmatic Excursion: Does it Predict Successful Weaning from Mechanical Ventilation?

OBJECTIVE To measure the diaphragmatic excursion and its outcome on weaning from mechanical ventilation. STUDY DESIGN Cross-sectional comparative study. PLACE AND DURATION OF STUDY Medical Intensive Care Unit (ICU), Military Hospital (MH), Rawalpindi, Pakistan, from January to December 2014. METHODOLOGY Diaphragmatic excursion (DE) in cm was measured through ultrasound by marking liver an...

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APACHE II score predicts mortality in patients requiring prolonged ventilation in a weaning center.

BACKGROUND In the past decade, the rate and utilization of veno-venous extracorporeal membrane oxygenation (VV-ECMO) has increased dramatically. A single catheter technique has recently come into favour for providing VV-ECMO. Although it has been shown that intensivists can safely place these catheters, the safety of decannulation by intensivists has not been reported in the literature. OBJEC...

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Reduced inspiratory muscle endurance following successful weaning from prolonged mechanical ventilation.

STUDY OBJECTIVES Respiratory muscle weakness and decreased endurance have been demonstrated following mechanical ventilation. However, its relationship to the duration of mechanical ventilation is not known. The aim of this study was to assess respiratory muscle endurance and its relationship to the duration of mechanical ventilation. DESIGN Prospective study. SETTING Tertiary teaching hosp...

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Weaning from mechanical ventilation

D iscontinuation of ventilation is estimated to take up to 40% of the total duration of ventilatory support, and around 3–6% of patients admitted to the intensive care unit (ICU) require a prolonged course of mechanical ventilation (MV). Patients being liberated from ventilatory support therefore occupy a significantnumber of ICUbeds andhave a major impact on healthcare resources. There have be...

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ژورنال

عنوان ژورنال: Chronic Respiratory Disease

سال: 2017

ISSN: 1479-9731,1479-9731

DOI: 10.1177/1479972316687100