Patient-ventilator asynchrony as a predictor of weaning failure in mechanically ventilated COPD patients
نویسندگان
چکیده
Abstract Background Patient-ventilator asynchrony is a common problem in mechanically ventilated patients. It associated with adverse effects including increased work of breathing, patient discomfort, need for sedation, prolonged mechanical ventilation, weaning difficulties, and failure. The purpose the present was to describe patient-ventilator its impact on outcomes chronic obstructive pulmonary disease (COPD) Results One hundred COPD patients were enrolled this prospective study. Weaning failure (need NIV or reintubation within 48 h) noticed 27 (27%) while 73 (73%) had successful weaning. Patients failed significantly higher index (A.I) ineffective trigger (ITI) comparison those (7.69 ± 3.71, 3.46 2.59 versus 6.27 3.14, 2.47 2.08, respectively; P value< 0.04). Data expressed as mean standard deviation. Conclusion High high may be early predictors
منابع مشابه
Alveolar dead space in mechanically ventilated COPD patients and its impact on weaning
Purpose: To determine the value of alveolar dead space as a predictor of weaning failure in mechanically ventilated COPD patients admitted to the intensive care units. Design: A prospective, observational cohort study conducted from 1 March 2014 to 31 August 2014. Setting: general Intensive care unit of Alexandria main University Hospitals. Patients: Eighty COPD patients requiring mechanical ve...
متن کاملPrognosis of mechanically ventilated patients entering the weaning process
Methods This is a subsequent analysis of the original prospective observational study run in 36 intensive care units in France, Spain and Switzerland over a three month period. All patients requiring intubation and MV were enrolled. MV modality, results of spontaneous breathing trials (SBT) and extubation, therapeutic limitation as well as survival were daily collected until ICU discharge or da...
متن کاملWork of breathing as a weaning parameter in mechanically ventilated patients.
STUDY OBJECTIVE Predicting patient responses to changes in ventilatory support or weaning is primarily based on bedside measure of respiratory mechanics and clinical judgement. Work of breathing (WOB) has been considered to be the best predictive factor in weaning. This study evaluated patient WOB as a predictive measure of weaning and extubation. DESIGN Blinded, descriptive evaluation of the...
متن کاملPatient-ventilator interaction and sleep in mechanically ventilated patients: pressure support versus proportional assist ventilation.
OBJECTIVES To understand the role of patient-ventilator asynchrony in the etiology of sleep disruption and determine whether optimizing patient-ventilator interactions by using proportional assist ventilation improves sleep. DESIGN Randomized crossover clinical trial. SETTING A tertiary university medical-surgical intensive care unit. PATIENTS Thirteen patients during weaning from mechani...
متن کاملEfficacy of ventilator waveforms observation in detecting patient-ventilator asynchrony.
OBJECTIVES The value of visual inspection of ventilator waveforms in detecting patient-ventilator asynchronies in the intensive care unit has never been systematically evaluated. This study aims to assess intensive care unit physicians' ability to identify patient-ventilator asynchronies through ventilator waveforms. DESIGN Prospective observational study. SETTING Intensive care unit of a U...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: The Egyptian Journal of Bronchology
سال: 2021
ISSN: ['2314-8551', '1687-8426']
DOI: https://doi.org/10.1186/s43168-021-00076-9