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Date Published: 25/06/2024
Online Published: 25/06/2024
Abstract Views: 87
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DOI: https://doi.org/10.58490/ctump.2024i75.2628
Issue
No. 75 (2024)
Section
Article
How to Cite
Nguyen, V. L. T., Ha, T. D., & Tran, T. H. (2024). EVALUATING THE TREATMENT RESULT ON THE APPLICATION OF HIGH-FLOW NASAL CANNULA IN PATIENTS AFTER EXTUBATION AT CAN THO CENTRAL GENERAL HOSPITAL 2023-2024. Cantho Journal of Medicine and Pharmacy, 75, 195-201. https://doi.org/10.58490/ctump.2024i75.2628

EVALUATING THE TREATMENT RESULT ON THE APPLICATION OF HIGH-FLOW NASAL CANNULA IN PATIENTS AFTER EXTUBATION AT CAN THO CENTRAL GENERAL HOSPITAL 2023-2024

Vo Lien Thao Nguyen1,, Tan Duc Ha1, Thanh Hung Tran1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Reintubation after extubation is a common problem in artificial ventilation, especially in critically ill patients. Reintubation prolongs ICU treatmentand increases the risk of death. Objectives: To evaluate of treatment results and determining of some factors related to the treatment outcomes on the application of high-flow nasal cannula (HFNC) in patients after extubation at Can Tho Central General Hospital 2023-2024. Materials and methods: A prospective, cross-sectional descriptive study was conducted on 73 patients who were extubated at Can Tho Central General Hospital from March 2023 to April 2024. Results: 76.7% of successful cases switched to nasal oxygen or breathing room air. 23.3% of failed patients required maintenance of high-flow oxygen >48 hours or reintubation. HFNC was effective in improving clinical parameters after 48 hours compared to before the intervention, specifically: heart rate (94.7±15.17 vs 103.88±13.99), respiratory rate (18 ± 4.14 vs 23.59± 3.42), SpO2 (98.8±0.92 vs 96.82± 1.31), mean blood pressure (86.67±8.43 vs. 101.71± 11.95), ROX index (16.5 ± 3.6 vs. 11.71± 2.64) this difference is statistically significant (p<0.05). Conclusions: HFNC effectively reduces the risk of re-intubation and improves clinical outcomes in patients intubated for all causes.   

Article Details

Keywords

extubation, high-flow nasal cannula (HFNC), ROX

References

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