Safety of Positive Pressure Extubation Technique
نویسندگان
چکیده
منابع مشابه
Noninvasive positive-pressure ventilation for respiratory failure after extubation.
BACKGROUND The need for reintubation after extubation and discontinuation of mechanical ventilation is not uncommon and is associated with increased mortality. Noninvasive positive-pressure ventilation has been suggested as a promising therapy for patients with respiratory failure after extubation, but a single-center, randomized trial recently found no benefit. We conducted a multicenter, rand...
متن کاملNoninvasive positive-pressure ventilation: a silver bullet for extubation failure?
Extubation failure, or the need for reintubation within 24–72 hours of extubation, occurs in up to 25% of critically ill patients. Extubation failure is associated with a markedly increased morbidity and mortality, including duration of mechanical ventilation, intensive care unit (ICU) and hospital stay, the need for post-acute-care hospitalization, and the need for tracheostomy.1,2 The most co...
متن کاملThe Effect Of External Positive End-Expiratory Pressure On Extubation Rate In Patients With Intrinsic Positive End-Expirtory Pressure
Intubation and mechanical ventilation are associated with several major complications despite their lifesaving potential. It is thus important to discontinue mechanical ventilation and remove the endotracheal tube from the patient when spontaneous ventilation is sustained. The process of discontinuing mechanical ventilation may constitute a major clinical challenge and become the principal caus...
متن کاملEffect of applying positive pressure with or without endotracheal suctioning during extubation: a laboratory study.
BACKGROUND During invasive mechanical ventilation, secretions accumulate in the subglottic space; consequently, there is a risk of aspiration of these secretions into the airway during cuff deflation and extubation. To minimize this risk, 2 extubation methods are used. The first consists of introducing a suction catheter into the endotracheal tube (ETT) and the trachea. After initiating suction...
متن کاملApplication of nasal continuous positive airway pressure to early extubation in very low birthweight infants.
Using a preset protocol for early extubation, 50 babies were randomly selected to post-extubation headbox or post-extubation nasal continuous positive airway pressure (N-CPAP). All infants weighed less than 1500 g, had a gestational age of less than 34 weeks, and had been weaning from mechanical ventilation within seven days of life. The criteria for extubation included stable condition, fracti...
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ژورنال
عنوان ژورنال: Respiratory Care
سال: 2019
ISSN: 0020-1324,1943-3654
DOI: 10.4187/respcare.06541