Self-extubation in intensive care and re-intubation predictors: a retrospective study.
J Indian Med Assoc
;
2002 Jan; 100(1): 11, 14-6
Artigo
em Inglês
| IMSEAR
| ID: sea-102861
ABSTRACT
To find out the incidence of self-extubation in intensive care, to evaluate the factors responsible for it and to identify the predictors of need for re-intubation, a retrospective analysis was conducted among 350 patients who were admitted to the intensive care unit over a two-year period and required ventilatory therapy for more than 48 hours. In all patients who self-extubated, the demographic data, ventilatory parameters before self-extubation (mode of ventilation, inspired oxygen concentration, positive end-expiratory pressure), partial pressure of oxygen in arterial blood and inspired oxygen fraction ration (PaO2/FiO2), and the event of re-intubation were noted. These values were compared among patients who were re-intubated and those who were not. Twelve patients out of 350 self-extubated. Of these 12 patients, 7 required re-intubation while 5 did not. Of these 7 patients, 3 died within 48 hours of the episode of self-extubation and one patient's death was directly attributable to self-extubation. Of the remaining 4 patients, 3 died within a span of 7 days. Re-intubation after self-extubation should not be considered mandatory. Patients who required re-intubation had lower PaO2/FiO2 than patients who did not.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Respiração Artificial
/
Idoso
/
Feminino
/
Humanos
/
Masculino
/
Desmame do Respirador
/
Incidência
/
Estudos Retrospectivos
/
Adulto
/
Hipnóticos e Sedativos
Tipo de estudo:
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Idioma:
Inglês
Revista:
J Indian Med Assoc
Ano de publicação:
2002
Tipo de documento:
Artigo
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