Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease: Case Series
نویسندگان
چکیده
OBJECTIVE To report successful cases of extubation from invasive mechanical ventilation at our institution using pulmonary rehabilitation consisting of noninvasive ventilation (NIV) in neuromuscular patients with experience of reintubation. METHODS Patients who experienced extubation failure via the conventional weaning strategy but afterwards had extubation success via NIV were studied retrospectively. Continuous end-tidal CO2 (ETCO2) and pulse oxyhemoglobin saturation (SpO2) monitoring were performed. Extubation success was defined as a state not requiring invasive mechanical ventilation via endotracheal tube or tracheotomy during a period of at least 5 days. RESULTS A total of 18 patients with ventilatory failure who initially experienced extubation failure were finally placed under part-time NIV after extubation. No patient had any serious or long-term adverse effect from NIV, and all patients left the hospital alive. CONCLUSION NIV may promote successful weaning in neuromuscular patients with experience of reintubation.
منابع مشابه
In Reply: Successful Extubation After Weaning Failure by Non-invasive Ventilation in Patients With Neurmuscular Disease – Do We Appreciate the Bigger Picture?
recently published article “Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease: Case Series.” We have already mentioned in the original article that there is growing evidence that noninvasive ventilation (NIV) helps wean patients (afflicted with chronic respiratory disease) off ventilation (mainly those with chronic obstructive pulmonar...
متن کاملLetter to the Editor: Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease - Do We Appreciate the Bigger Picture?
We read, with considerable interest, the recently published article by Kim et al. [1] regarding the use of noninvasive ventilation (NIV) in the weaning and post extubation support of patients with neuromuscular disease (NMD). As enthusiastic supporters of the wider use of post extubation NIV, we commend work in this very challenging patient group and congratulate the authors on their efforts. P...
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