A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure
Background A lot of indices can be used as predictors of weaning off mechanical ventilation, such as rapid shallow breathing index (RSBI), integrative weaning index (IWI), vital capacity (VC), maximal inspiratory pressure (MIP), and respiratory rate (RR). MIP and IWI were considered the most sensiti...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2020;volume=69;issue=3;spage=485;epage=492;aulast=El-Daim |
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| author | Asmaa A El-Daim Fawzy El-Emery Ayman El-Dib Nagat El-Shamaa |
| author_facet | Asmaa A El-Daim Fawzy El-Emery Ayman El-Dib Nagat El-Shamaa |
| author_sort | Asmaa A El-Daim |
| collection | DOAJ |
| description | Background A lot of indices can be used as predictors of weaning off mechanical ventilation, such as rapid shallow breathing index (RSBI), integrative weaning index (IWI), vital capacity (VC), maximal inspiratory pressure (MIP), and respiratory rate (RR). MIP and IWI were considered the most sensitive parameters for prediction of weaning.
Objective To compare between the efficacies of some predictors of successful weaning in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure.
Design A total of 30 patients with chronic obstructive pulmonary disease with acute respiratory failure were mechanically ventilated and classified into two groups, with 15 patients each. Clinical and demographic data assessment and routine investigations were done for all patients, and then RSBI and IWI were measured in group I, and also VC and MIP were measured in group II, whereas RR was measured in the two groups.
Results Successful cases had significantly short duration of ventilation and high IWI, MIP, and VC, but RSBI was significantly lower in successful cases, whereas RR was significantly high in failed cases.
Conclusion MIP and IWI were considered the most sensitive parameters in predicting the outcome of weaning, and prolonged duration on mechanical ventilation was associated with weaning failure. |
| first_indexed | 2024-12-22T02:42:17Z |
| format | Article |
| id | doaj.art-5b01c823309942f194dd8f41f93e6e5f |
| institution | Directory Open Access Journal |
| issn | 0422-7638 2090-9950 |
| language | English |
| last_indexed | 2024-12-22T02:42:17Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-5b01c823309942f194dd8f41f93e6e5f2022-12-21T18:41:36ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382090-99502020-01-0169348549210.4103/ejcdt.ejcdt_156_19A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failureAsmaa A El-DaimFawzy El-EmeryAyman El-DibNagat El-ShamaaBackground A lot of indices can be used as predictors of weaning off mechanical ventilation, such as rapid shallow breathing index (RSBI), integrative weaning index (IWI), vital capacity (VC), maximal inspiratory pressure (MIP), and respiratory rate (RR). MIP and IWI were considered the most sensitive parameters for prediction of weaning. Objective To compare between the efficacies of some predictors of successful weaning in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure. Design A total of 30 patients with chronic obstructive pulmonary disease with acute respiratory failure were mechanically ventilated and classified into two groups, with 15 patients each. Clinical and demographic data assessment and routine investigations were done for all patients, and then RSBI and IWI were measured in group I, and also VC and MIP were measured in group II, whereas RR was measured in the two groups. Results Successful cases had significantly short duration of ventilation and high IWI, MIP, and VC, but RSBI was significantly lower in successful cases, whereas RR was significantly high in failed cases. Conclusion MIP and IWI were considered the most sensitive parameters in predicting the outcome of weaning, and prolonged duration on mechanical ventilation was associated with weaning failure.http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2020;volume=69;issue=3;spage=485;epage=492;aulast=El-Daimintegrative weaning indexmaximal inspiratory pressurepredictor of weaningrapid shallow breathing indexvital capacity |
| spellingShingle | Asmaa A El-Daim Fawzy El-Emery Ayman El-Dib Nagat El-Shamaa A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure Egyptian Journal of Chest Disease and Tuberculosis integrative weaning index maximal inspiratory pressure predictor of weaning rapid shallow breathing index vital capacity |
| title | A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure |
| title_full | A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure |
| title_fullStr | A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure |
| title_full_unstemmed | A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure |
| title_short | A study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure |
| title_sort | study of different predictors of successful weaning off mechanical ventilation in ventilated patients with chronic obstructive pulmonary disease with acute respiratory failure |
| topic | integrative weaning index maximal inspiratory pressure predictor of weaning rapid shallow breathing index vital capacity |
| url | http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2020;volume=69;issue=3;spage=485;epage=492;aulast=El-Daim |
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