Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/20305
Title
Noninvasive ventilation during the weaning process in chronically critically ill patients.
Author(s)
Sancho, Jesus | Servera, Emilio | Jara-Palomares, Luis | Barrot, Emilia | Sanchez-Oro-Gomez, Raque | Gomez de Terreros, F Javier | Martin-Vicente, M Jesus | Utrabo, Isabel | Núñez, Belén | Binimelis Varella, Alicia | Sala, Ernest | Zamora, Enrique | Segrelles, Gonzalo | Ortega-Gonzalez, Angel | Masa, Fernando
Date issued
2016
Citation
Sancho J, Servera E, Jara-Palomares L, Barrot E, Sanchez-Oro-Gomez R, Gomez De Terreros FJ, et al. Noninvasive ventilation during the weaning process in chronically critically ill patients.. ERJ Open Res. 2016;2(4). 2016 Oct.
Language
Inglés
Document type
research article
Abstract
Chronically critically ill patients often undergo prolonged mechanical ventilation. The role of noninvasive ventilation (NIV) during weaning of these patients remains unclear. The aim of this study was to determine the value of NIV and whether a parameter can predict the need for NIV in chronically critically ill patients during the weaning process. We conducted a prospective study that included chronically critically ill patients admitted to Spanish respiratory care units. The weaning method used consisted of progressive periods of spontaneous breathing trials. Patients were transferred to NIV when it proved impossible to increase the duration of spontaneous breathing trials beyond 18 h. 231 chronically critically ill patients were included in the study. 198 (85.71%) patients achieved weaning success (mean weaning time 25.45�16.71 days), of whom 40 (21.4%) needed NIV during the weaning process. The variable which predicted the need for NIV was arterial carbon dioxide tension at respiratory care unit admission (OR 1.08 (95% CI 1.01-1.15), p=0.013), with a cut-off point of 45.5 mmHg (sensitivity 0.76, specificity 0.67, positive predictive value 0.76, negative predictive value 0.97). NIV is a useful tool during weaning in chronically critically ill patients. Hypercapnia despite mechanical ventilation at respiratory care unit admission is the main predictor of the need for NIV during weaning.
Online version
DOI
Collections
- Investigación > IIS > IdisBa - Instituto de Investigación Sanitaria Illes Balears (Baleares)
- Investigación > IIS > INCLIVA - Instituto de Investigación Sanitaria Fundación para la Investigación del Hospital Clínico de Valencia (C. Valenciana)
- Investigación > IIS > IIS-PRINCESA - Instituto de Investigación Sanitaria Hospital Universitario de La Princesa (Madrid)
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