FAILURE WITH SIMPLE WEANING MECHANICAL AND RELATED FACTORS AT CAN THO CENTRAL GENERAL HOSPITAL
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Abstract
Background: Mechanical ventilation weaning failure is a serious problem in patients treated at Intensive care units yet there has been no previous study reporting an overview of this subject. Materials and methods: A cross-sectional descriptive study with analysis of 108 patients being on mechanical ventilation at the ICU of Can Tho Central General Hospital from 2019 March to 2020 August. Results: 39.8% patients failed to wean, risk for weaning failure increased in patients with elevated pCO2 (OR = 6.75; p = 0.001) and decreased HCO3- level (OR = 3,896; p = 0,031). Risk, however, seemed to be lower in patients with increased pCO2 (OR = 0,25; p = 0,016). Conclusion: Weaning failure rate on critical care patients remained high. Factors regarding arterial blood gases should be well controlled before commencing weaning process.
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Keywords
Weaning mechanical
References
2. A. Rojek-Jarmula, R. Hombach, L. J. Krzych, 2017. APACHE II score cannot predict successful weaning from prolonged mechanical ventilation. Chron Respir Dis, 14 (3), 270-275.
3. G. C. Funk, S. Anders, M. K. Breyer, O. C. Burghuber, G. Edelmann, W. Heindl, et al, 2010. Incidence and outcome of weaning from mechanical ventilation according to new categories. Eur Respir J, 35 (1), 88-94.
4. H. J. Shin, J. S. Chang, S. Ahn, T. O. Kim, C. K. Park, J. H. Lim, et al, 2017. Clinical factors associated with weaning failure in patients requiring prolonged mechanical ventilation. J Thorac Dis, 9 (1), 143-150.
5. Iain Hennessey, Alan Japp, 2016, Arterial blood gases made easy.
6. L. Rose, K. N. Dainty, J. Jordan, B. Blackwood, 2014. Weaning from mechanical ventilation: a scoping review of qualitative studies. Am J Crit Care, 23 (5), e54-70.
7. N. Saiphoklang, J. Auttajaroon, 2018. Incidence and outcome of weaning from mechanical ventilation in medical wards at Thammasat University Hospital. PLoS One, 13 (10), e0205106.
8. Paul L. Marino, 2014, Marino's the ICU book, Truy cập tại trang web http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=booktext&D=bo oks2&AN=01762486/4th_Edition/2&XPATH=/OVIDBOOK%5b1%5d/METADATA%5 b1%5d/TBY%5b1%5d/AUTHORS%5b1%5d.
9. R. R. West, M. Saidi, D. Dawson, 2009. Protocol-driven weaning from mechanical ventilation: a study into adherence and outcomes. Critical Care, 13 (Suppl 1), P24-P24.