Comparison of extubation times between protocolized versus automated weaning systems after major surgery

doi:10.22514/sv71.042012.4

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…On the other hand, patients with dependency on MV need specialized care, frequent monitoring, and long-term hospitalization in intensive care units, which increases the costs of patients and bed occupation of units. For these reasons, timely and safe weaning from MV leads to optimum results for patients [ 8 ]. Several factors influence patient weaning from MV, including cardiorespiratory status, nervous system, nutritional status, psychological status, and other physiological factors.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with long-term mechanical ventilation in patients undergoing cardiovascular surgery

Rahimi

Abdi

Salari

et al. 2023

BMC Cardiovasc Disord

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Background One of the main therapy for coronary artery disease is surgery. Prolonged mechanical ventilation in patients with cardiac surgery is associated with high mortality. This study aimed to determine the factors related to long-term mechanical ventilation (LTMV) in patients undergoing cardiovascular surgery. Methods The present study was a descriptive-analytical study in which the records of 1361 patients who underwent cardiovascular surgery and were on a mechanical ventilator during 2019–2020 at the Imam Ali Heart Center in Kermanshah city were examined. The data collection tool was a three-part researcher-made questionnaire including demographic characteristics, health records, and clinical variables. Data analysis was done using descriptive and inferential statistical tests and SPSS Version 25 software. Results In this study, of the 1361 patients, 953 (70%) were male. The results indicated that 78.6% of patients had short-term mechanical ventilation, and 21.4% had long-term mechanical ventilation. There was a statistically significant relationship between the history of smoking, drug use, and baking bread with the type of mechanical ventilation (P < 0.05). Also, based on the regression test, some parameters, such as the history of respiratory conditions, could predict the prolongation of mechanical ventilation. Creatinine levels before surgery, chest secretions after surgery, central venous pressure after surgery, and the status of cardiac enzymes before surgery also affect this issue. Conclusion This study investigated some factors related to prolonged mechanical ventilation in patients undergoing heart surgery. For optimizing the care and therapeutic measures, It is suggested, healthcare workers have a detailed assessment on patients with factors such as the history of baking bread, history of obstructive pulmonary disease, history of kidney disease, use of an intra-aortic pump, number of respirations and systolic blood pressure 24 h after surgery, creatinine level 24 h after surgery, chest secretions after surgery, and the amount of pre-operative ejection fraction and cardiac enzymes (CK-MB).

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Section: Introductionmentioning

confidence: 99%

Factors associated with long-term mechanical ventilation in patients undergoing cardiovascular surgery

Rahimi

Abdi

Salari

et al. 2023

BMC Cardiovasc Disord

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Nursing Strategies for Effective Weaning of the Critically Ill Mechanically Ventilated Patient

Ward¹,

Fulbrook

2016

Critical Care Nursing Clinics of North America

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The Value of Persian Weaning Tool in Prediction of Patients’ Weaning Outcome Compared with Physician- Directed Approach: A Diagnostic Accuracy Study

Mirzaali

Vakili

Khoddam

2020

J Res Dev Nurs Midw

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Background: One of the important criteria in patients receiving artificial respiration is the time of weaning from the mechanical ventilator. As physician's decision might be somehow subjective, several tools have been suggested for prediction of the time of weaning more objectively. This study aimed to determine the predictive value of Persian Weaning Tool (PWT) compared with Physician-directed approach as the gold standard. Methods: This diagnostic accuracy study was done in 2016-2017 in Two Medical and Educational Centers of Gorgan, Iran. 97 admitted patients in intensive care units, under mechanical ventilation were evaluated. The patients were recruited into the study by a convenience sampling method and evaluated for readiness to wean using two approaches (physician's decision and using PWT). Successful weaning was considered as the ability of patient to breathe spontaneously during the first 48 hours after weaning. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR), as well as the agreement (kappa coefficient) between the two approaches, were calculated. In addition, to compare the differences between variables in two groups, chi-Square, T and man-Whitney tests were used. All analyses were performed using SPSS software ver.16, and MedCalc program ver.13. P<0.05 was considered as statistically significant. Results: Most patients (64.9%) were men. The mean age, duration of hospital admission, and

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Comparison of extubation times between protocolized versus automated weaning systems after major surgery

Cited by 3 publications

References 11 publications

Factors associated with long-term mechanical ventilation in patients undergoing cardiovascular surgery

Factors associated with long-term mechanical ventilation in patients undergoing cardiovascular surgery

Nursing Strategies for Effective Weaning of the Critically Ill Mechanically Ventilated Patient

The Value of Persian Weaning Tool in Prediction of Patients’ Weaning Outcome Compared with Physician- Directed Approach: A Diagnostic Accuracy Study

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