Influence of invasive ventilation modes on weaning and extubation evolution of critical patients
The aim of this research was to analyze the influence of invasive ventilation modes on weaning and extubation process. It is a prospective cohort study that assessed patients admitted to the Intensive Care Unit (ICU) using Invasive Mechanical Ventilation (IMV). The following aspects were considered:...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidade Estadual de Maringá
2019-07-01
|
| Series: | Acta Scientiarum. Health Sciences |
| Subjects: | |
| Online Access: | http://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/41783 |
| _version_ | 1818657030404046848 |
|---|---|
| author | Thaynara Zanoni D'Almeida Cláudio Spínola Najas |
| author_facet | Thaynara Zanoni D'Almeida Cláudio Spínola Najas |
| author_sort | Thaynara Zanoni D'Almeida |
| collection | DOAJ |
| description | The aim of this research was to analyze the influence of invasive ventilation modes on weaning and extubation process. It is a prospective cohort study that assessed patients admitted to the Intensive Care Unit (ICU) using Invasive Mechanical Ventilation (IMV). The following aspects were considered: ventilation mode used, days until evolution to weaning and extubation, its success/failure, hospitalization period, and ICU outcome (discharge/death). Sixty patients were assessed, 48 of which were admitted on volume-controlled ventilation (VCV), three on pressure-controlled ventilation (PCV), and nine on spontaneous mode. A total of 79% of VCV individuals and 67% of PCV went into spontaneous mode. There was no significant difference between modes for time until evolution to spontaneous breathing, neither between that and weaning and extubation. Among possible factors responsible for weaning and extubation success, only days on spontaneous mode influenced these outcomes, so individuals who breathed spontaneously for more days were 1.5% more likely to succeed at weaning and 1.3% more likely to succeed at extubation. The ventilation mode used at admission did not influence weaning and extubation process. Longer time on spontaneous breathing mode predicted the patients’ greater chances of weaning and extubation success. |
| first_indexed | 2024-12-17T03:35:00Z |
| format | Article |
| id | doaj.art-74b530a408c945baaa1b63e95c611eaa |
| institution | Directory Open Access Journal |
| issn | 1679-9291 1807-8648 |
| language | English |
| last_indexed | 2024-12-17T03:35:00Z |
| publishDate | 2019-07-01 |
| publisher | Universidade Estadual de Maringá |
| record_format | Article |
| series | Acta Scientiarum. Health Sciences |
| spelling | doaj.art-74b530a408c945baaa1b63e95c611eaa2022-12-21T22:05:10ZengUniversidade Estadual de MaringáActa Scientiarum. Health Sciences1679-92911807-86482019-07-01411e41783e4178310.4025/actascihealthsci.v41i1.4178320220Influence of invasive ventilation modes on weaning and extubation evolution of critical patientsThaynara Zanoni D'Almeida0Cláudio Spínola Najas1Universidade do Oeste PaulistaUniversidade do Oeste PaulistaThe aim of this research was to analyze the influence of invasive ventilation modes on weaning and extubation process. It is a prospective cohort study that assessed patients admitted to the Intensive Care Unit (ICU) using Invasive Mechanical Ventilation (IMV). The following aspects were considered: ventilation mode used, days until evolution to weaning and extubation, its success/failure, hospitalization period, and ICU outcome (discharge/death). Sixty patients were assessed, 48 of which were admitted on volume-controlled ventilation (VCV), three on pressure-controlled ventilation (PCV), and nine on spontaneous mode. A total of 79% of VCV individuals and 67% of PCV went into spontaneous mode. There was no significant difference between modes for time until evolution to spontaneous breathing, neither between that and weaning and extubation. Among possible factors responsible for weaning and extubation success, only days on spontaneous mode influenced these outcomes, so individuals who breathed spontaneously for more days were 1.5% more likely to succeed at weaning and 1.3% more likely to succeed at extubation. The ventilation mode used at admission did not influence weaning and extubation process. Longer time on spontaneous breathing mode predicted the patients’ greater chances of weaning and extubation success.http://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/41783artificial respirationventilator weaningextubationintensive care unitsphysiotherapy |
| spellingShingle | Thaynara Zanoni D'Almeida Cláudio Spínola Najas Influence of invasive ventilation modes on weaning and extubation evolution of critical patients Acta Scientiarum. Health Sciences artificial respiration ventilator weaning extubation intensive care units physiotherapy |
| title | Influence of invasive ventilation modes on weaning and extubation evolution of critical patients |
| title_full | Influence of invasive ventilation modes on weaning and extubation evolution of critical patients |
| title_fullStr | Influence of invasive ventilation modes on weaning and extubation evolution of critical patients |
| title_full_unstemmed | Influence of invasive ventilation modes on weaning and extubation evolution of critical patients |
| title_short | Influence of invasive ventilation modes on weaning and extubation evolution of critical patients |
| title_sort | influence of invasive ventilation modes on weaning and extubation evolution of critical patients |
| topic | artificial respiration ventilator weaning extubation intensive care units physiotherapy |
| url | http://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/41783 |
| work_keys_str_mv | AT thaynarazanonidalmeida influenceofinvasiveventilationmodesonweaningandextubationevolutionofcriticalpatients AT claudiospinolanajas influenceofinvasiveventilationmodesonweaningandextubationevolutionofcriticalpatients |