Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease: Case Series
Annals of Rehabilitation Medicine
;
: 450-455, 2017.
Article
Dans Anglais
| WPRIM
| ID: wpr-49268
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Réadaptation
/
Ventilation artificielle
/
Trachéotomie
/
Sevrage
/
Oxyhémoglobines
/
Études rétrospectives
/
Ventilation non effractive
/
Maladies neuromusculaires
Type d'étude:
Étude observationnelle
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Annals of Rehabilitation Medicine
Année:
2017
Type:
Article
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