Hemodynamic profiles related to circulatory shock in cardiac care units

González-Hermosillo, Jesús Antonio; Palma-Carbajal, Ricardo; Rojas‐Velasco, Gustavo; Cabrera-Jardines, Ricardo; Gonzalez-Galvan, Luis Mario; Manzur‐Sandoval, Daniel; Jiménez‐Rodrìguez, Gian Manuel; Ortiz-Solis, Willian A.

doi:10.24875/acme.m20000094

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…In the present study, the incidence of shock was significantly lower among patients who had successful weaning from MV compared to the weaning failure group (32.7% vs 60.8%, p=0.001). Shock is frequently encountered in critically ill ARDS populations [ 24 ]. In our study the percentage of patients with shock was 45.1% in ARDS and 53.1% in SARS-CoV2 patients.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Weaning Failure in COVID-19 Patients

Gerovasileiou,

Menis,

Gavriilidis

et al. 2023

The Journal of Critical Care Medicine

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Background Data on risk factors associated with mechanical ventilation (MV) weaning failure among SARS-CoV2 ARDS patients is limited. We aimed to determine clinical characteristics associated with weaning outcome in SARS-CoV2 ARDS patients under MV. Objectives To determine potential risk factors for weaning outcome in patients with SARS-CoV2 ARDS. Methods A retrospective observational study was conducted in the ICUs of four Greek hospitals via review of the electronic medical record for the period 2020–2021. All consecutive adult patients were screened and were included if they fulfilled the following criteria: a) age equal or above 18 years, b) need for MV for more than 48 hours and c) diagnosis of ARDS due to SARS-CoV2 pneumonia or primary or secondary ARDS of other aetiologies. Patient demographic and clinical characteristics were recorded for the first 28 days following ICU admission. The primary outcome was weaning success defined as spontaneous ventilation for more than 48 hours. Results A hundred and fifty eight patients were included; 96 SARS-CoV2 ARDS patients. SOFA score, Chronic Obstructive Pulmonary Disease (COPD) and shock were independently associated with the weaning outcome OR(95% CI), 0.86 (0.73–0.99), 0.27 (0.08–0.89) and 0.30 (0.14–0.61), respectively]. When we analysed data from SARS-CoV2 ARDS patients separately, COPD [0.18 (0.03–0.96)] and shock [0.33(0.12 – 0.86)] were independently associated with the weaning outcome. Conclusions The presence of COPD and shock are potential risk factors for adverse weaning outcome in SARS-CoV2 ARDS patients.

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Section: Discussionmentioning

confidence: 99%