Prolonged mechanical ventilation and chronic critical illness

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Weaning unit and prolonged mechanical ventilation after critical illness

Methods We retrospectively reviewed medical records of tracheostomized and clinically stable ICU adults patients who required PMV (> 21 days) and weaning (> 7 days) and were transferred to a WU or a GW over a 8-year period (2007-2014) after critical illness. The study was carried out in two tertiary care university hospitals. Study variables were age, sex, APACHE II score, principal diagnosis, ...

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Association Between Vitamin D Status and Weaning From Prolonged Mechanical Ventilation in Survivors of Critical Illness.

BACKGROUND In this study, we examined the association between 25-hydroxyvitamin D (25(OH)D) concentration and successful weaning from mechanical ventilation in a cohort of ICU survivors requiring prolonged mechanical ventilation. METHODS This was a retrospective cohort study of ICU survivors admitted to a long-term acute care hospital. Demographic data were extracted from medical records, inc...

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Patients characteristics and outcomes of prolonged mechanical ventilation after critical illness transferred to a weaning unit

Introduction Recent trends seem to point out that growing numbers of patients requiring prolonged mechanical ventilation (PMV) and protracted weaning after critical illness with eventually account for a large portion of all Intensive Care Unit (ICU) cost and bed occupancy. Specialized Weaning Unit (WU), may facilitate weaning through focused multidisciplinary expert team, but due to considerabl...

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Prolonged mechanical ventilation as a consequence of acute illness.

OBJECTIVE To determine why acutely ill children become dependent upon mechanical ventilation and what happens to them. METHODS A retrospective medical record study of all patients aged between 1 month and 16 years from 1983 to 1996 who required ventilation for more than 28 days. RESULTS Forty children were ventilated for between 36 and 180 days before discharge or death. Before their presen...

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Critical illness and mechanical ventilation: effects on the diaphragm.

Although life-saving, mechanical ventilation is associated with numerous complications. These include pneumonia, cardiovascular compromise, barotrauma, and ventilator-induced lung injury. Recent data from animal studies suggest that controlled mechanical ventilation can cause dysfunction of the diaphragm, decreasing its force-generating capacity--a condition referred to as ventilator-induced di...

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ژورنال

عنوان ژورنال: Journal of Thoracic Disease

سال: 2016

ISSN: 2072-1439,2077-6624

DOI: 10.21037/jtd.2016.03.60