Adaptive Support Ventilation From Intubation to Extubation: A Word of Caution.
نویسندگان
چکیده
In a recent issue of CHEST (June 2015), we read with interest the randomized controlled trial (RCT) by Kirakli et al comparing adaptive support ventilation (ASV) with pressure assist/control ventilation (P-ACV) for the entire duration of mechanical ventilation (MV) in a cohort of 229 patients in the medical ICU. The study showed a shorter duration of the weaning process and total MV in the ASV group. We believe that some aspects of this RCT deserve further discussion.
منابع مشابه
Randomized controlled trial comparing adaptive-support ventilation with pressure-regulated volume-controlled ventilation with automode in weaning patients after cardiac surgery.
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Background & Aim: Decreasing mechanical ventilation and early extubation after cardiac surgery are the important scientific subjects that their clinical and financial benefits had been demonstrated. There are some variables that are associated with extubation time so, determination of them will help nurses to plan appropriate care aimed at doing an early and safe extubation. Methods & Materials...
متن کاملA spontaneous breathing trial with pressure support overestimates readiness for extubation in children.
OBJECTIVE To evaluate the performance of an extubation readiness test based on a spontaneous breathing trial using pressure support. DESIGN Retrospective chart review. SETTING Pediatric intensive care unit. PATIENTS All infants and children admitted to the pediatric intensive care unit requiring intubation from July 2007 to December 2008 were eligible for this study. INTERVENTIONS Routi...
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ورودعنوان ژورنال:
- Chest
دوره 149 1 شماره
صفحات -
تاریخ انتشار 2016