Acute kidney injury on ventilator initiation day independently predicts prolonged mechanical ventilation in intensive care unit patients

Post‐intensive care unit respiratory failure in older patients liberated from intensive care unit and ventilator: The predictive value of the National Early Warning Score on intensive care unit discharge

“…Patients who were ready for weaning should have: (i) improvement of causes of acute respiratory failure; (ii) hemodynamic stability; (iii) a ratio of arterial oxygen partial pressure to fractional inspired oxygen (PaO 2 /FiO 2 ) >200 mmHg; and (iv) a positive end‐expiratory pressure ≤8 cm H 2 O. The weaning protocols for eligible patients incorporated: (i) checking weaning parameters, including rapid shallow breathing index; (ii) initiating a spontaneous breathing trial (positive end‐expiratory pressure of 5 cm H 2 O and pressure support of 6 cm H 2 O or T piece) for >30 min if there is an rapid shallow breathing index ≤105; and (iii) carrying out extubation or disconnection from the MV in tracheostomized patients if the spontaneous breathing trial has passed . The ICU discharge criteria for patients with successful MV weaning were: (i) the patient was free from critical illness; and (ii) the patient remained hemodynamically stable over a 3‐ to 5‐day post‐extubation period.…”

“…Furthermore, as a marker of clinical deterioration, the incidence of post‐ICU respiratory failure (PIRF) and its impact on mortality in older patients with ICUmv‐lib is unclear . Despite the knowledge of predictors of weaning from MV in the ICU, no studies have reported the risk factors of reinstitution of MV in older patients with ICUmv‐lib . Without information on the clinical significance and early predictors of in‐hospital PIRF in older patients with ICUmv‐lib, the care plan for these critical older patients might largely be restricted.…”

Synergistic impact of low serum albumin on intensive care unit admission and high blood urea nitrogen during intensive care unit stay on post‐intensive care unit mortality in critically ill elderly patients requiring mechanical ventilation

“…The nurse‐to‐patient ratio in the ICU is 1:2.5, and one respiratory therapist cares for 10 patients receiving MV. The ICU provides standard ICU care and weaning protocols 19 . The criteria for ICU discharge are: (i) if the underlying critical illness resolved without hemodynamic instability; (ii) if the patient is successfully weaned from MV; and (iii) if weaning from MV is difficult and the patient can be transferred to a respiratory care ward.…”

The Impact of Dialysis-Requiring Acute Kidney Injury on Long-Term Prognosis of Patients Requiring Prolonged Mechanical Ventilation: Nationwide Population-Based Study

“…Even transient AKI exerts an unfavorable effect on long-term outcome comparing with persistent AKI [13]. Similarly, factors such as fluid overload and AKI at the start of ventilation or during subacute respiratory care are associated with PMV development in intensive care units (ICUs) [14]–[16], while receipt of renal replacement therapy (RRT) may predict short-term mortality in patients requiring PMV [17]–[19]. Consequently renal failure plays a vital role over the courses of PMV development and outcome [14]–[16], [20].…”