Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy / 世界急诊医学杂志(英文)
World Journal of Emergency Medicine
;
(4): 196-200, 2015.
Article
in Chinese
| WPRIM
| ID: wpr-789719
ABSTRACT
BACKGROUND:
Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning strategy in patients after tracheostomy.METHODS:
Fifty patients including 24 patients with withdrawal of mechanical ventilation (conventional group) and 26 patients with sequential invasive-noninvasive weaning by directly plugging of tracheostomy (sequential group) were analyzed retrospectively after appearance of pulmonary infection control (PIC) window. The analysis of arterial blood gases, ventilator-associated pneumonia (VAP) incidence, the total duration of mechanical ventilation, the success rate of weaning and total cost of hospitalization were compared between the two groups.RESULTS:
Arterial blood gas analysis showed that the sequential weaning group was better than the conventional weaning group 1 and 24 hours after invasive ventilation. The VAP incidence was lowered, the duration of mechanical ventilation shortened, the success rate of weaning increased, and the total cost of hospitalization decreased.CONCLUSION:
Sequential invasive-noninvasive ventilator weaning is feasible in patients after tracheostomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
World Journal of Emergency Medicine
Year:
2015
Type:
Article
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