Prediction of post-extubation failure by portable ICU ultrasound
نویسندگان
چکیده
منابع مشابه
Extubation failure in a large pediatric ICU population.
OBJECTIVE To review a large population of children receiving mechanical ventilation to establish a baseline rate of extubation success and failure and to identify those characteristics that place a patient at greater risk of failing planned extubation. DESIGN Retrospective chart review. SETTING University-affiliated children's hospital with a 20-bed pediatric ICU. PATIENTS All 632 patient...
متن کاملNoninvasive mechanical ventilation for prevention of post-extubation respiratory failure.
In their prospective multicenter randomized controlled trial, Su et al report that noninvasive mechanical ventilation (NIV) used in all patients after extubation did not reduce re-intubation rate, when compared to standard oxygen therapy.1 Nevertheless, we believe that the concept of “preventive” NIV requires not only early application of NIV but also careful selection of patients who are high ...
متن کاملClinical review: Post-extubation laryngeal edema and extubation failure in critically ill adult patients
Laryngeal edema is a frequent complication of intubation. It often presents shortly after extubation as post-extubation stridor and results from damage to the mucosa of the larynx. Mucosal damage is caused by pressure and ischemia resulting in an inflammatory response. Laryngeal edema may compromise the airway necessitating reintubation. Several studies show that a positive cuff leak test combi...
متن کاملICU CORNER: Mechanical ventilation: Weaning and extubation
GENERAL INFORMATION ICU CORNER is a section of OPUS 12 Scientist dedicated to brief topic reviews geared toward preparation for the various Critical Care Board Examinations. Each quarterly edition of OPUS 12 Scientist will contain one or two condensed overviews, accompanied by a list of selected references. Contributions via regular article submission process are welcome, subject to Editorial B...
متن کاملPredicting extubation failure
Results Out of 680 intubations, 73(11%) patients [46 (63%) male] had failed extubations. Average age was 60(21-88) years. Average time to re-intubation was 22.1(1-72) hours, 45(62%) being re-intubated at≤24 hours. Average time intubated was 2.2 days with 3 patients intubated for >7 days. Fifteen(21%) patients had had no sedation within 4 hours of extubation. All others had one or more of fentan...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2012
ISSN: 1364-8535
DOI: 10.1186/cc10737