Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease: Case Series
Annals of Rehabilitation Medicine
; : 450-455, 2017.
Article
in En
| WPRIM
| ID: wpr-49268
Responsible library:
WPRO
ABSTRACT
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.
Key words
Full text:
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Index:
WPRIM
Main subject:
Rehabilitation
/
Respiration, Artificial
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Tracheotomy
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Weaning
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Oxyhemoglobins
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Retrospective Studies
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Noninvasive Ventilation
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Neuromuscular Diseases
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Annals of Rehabilitation Medicine
Year:
2017
Type:
Article