Introduction  Mechanical ventilation may be lifesaving intervention,It can be associated with complications,Thus,successful weaning is constitutive.One of the factors which is  important in successful weaning is  method of weaning. It is shown that  weaning is conducted successfully by using Spontaneous Breathing Trial (SBT) through T-piece and pressure support (PS) ventilation.But few studies ...

OBJECTIVE To measure the diaphragmatic excursion and its outcome on weaning from mechanical ventilation. STUDY DESIGN Cross-sectional comparative study. PLACE AND DURATION OF STUDY Medical Intensive Care Unit (ICU), Military Hospital (MH), Rawalpindi, Pakistan, from January to December 2014. METHODOLOGY Diaphragmatic excursion (DE) in cm was measured through ultrasound by marking liver an...

introduction  mechanical ventilation may be lifesaving intervention,it can be associated with complications,thus,successful weaning is constitutive.one of the factors which is  important in successful weaning is  method of weaning. it is shown that  weaning is conducted successfully by using spontaneous breathing trial (sbt) through t-piece and pressure support (ps) ventilation.but few studies ...

introduction chronic obstructive pulmonary disease (copd) is a chronic disorder with many systematic complications and one of the most important reasons for patients to require mechanical ventilation, admission in intensive care unit and prolonged mechanical ventilation. although the first attempt in separation of mechanical ventilation is failed in half of chronic obstructive pulmonary disease...

the case is 43 years old woman referred to emergency department of our hospital with quadriplegia and severe respiratory insufficiency due to c5-c6 injury after falling. she discharged from icu after fixation of the lesion and successful weaning. we evaluated electrical activity of diaphragm signal (edi), respiratory drive (p100) during one month period. we detected increase in level of electri...

results there were 80 successful and 44 unsuccessful as well as 72 successful and 8 unsuccessful weaning cases in the first and second phase of the study, respectively. the area under the roc curves for iwi was 0.967, with standard error of 0.020, 95% confidence interval of 0.899 to 0.993 and significance level of p = 0.001, se = 94.59, sp = 66.67, ppv = 97.22, npv = 50, da = 92.5 and likelihoo...

Most patients staying in the intensive care unit (ICU) require respiratory support through a ventilator. Since prolonged mechanical ventilation and weaning from the ventilator without criteria or at the inappropriate time can result in many complications, it is required that patients be weaned off the ventilator as soon as possible. This study was conducted to investigate a few standard tools t...

BACKGROUND At present, air way support plays pivotal role in management of patients in the ICU (Intensive Care Unit) and also RCU (Respiratory Care Unit). Ventilator weaning is an important step in the care of ICU and RCU patients. It is the gradual removal of mechanical ventilatory support. Different predictors are used for initiation of weaning. This study was designed to investigate the rapi...

Background: Continuous positive airway pressure (CPAP) is used as respiratory support in preterm neonates; however, the best weaning method has not yet been determined. In this study, we compared sudden complete and gradual weaning from nasal CPAP (NCPAP) in preterm newborns. Methods: This randomized controlled trial was conducted on 62 prete...

BACKGROUND There is increased use of early nasal continuous positive airway pressure (NCPAP) to manage respiratory distress in preterm infants but optimal methods and factors associated with successful wean are not well defined. A systematic review was performed to define the corrected gestational age (CGA), weight to wean NCPAP and the methods associated with successful weaning of the NCPAP am...