Mechanical ventilation in patients in the intensive care unit of a general university hospital in southern Brazil: an epidemiological study

Fialkow, Léa; Farenzena, Maurício; Wawrzeniak, Iuri Christmann; Brauner, Janete Salles; Vieira, Sílvia Regina Rios; Vigo, Álvaro; Bozzetti, Mary Clarisse

doi:10.6061/clinics/2016(03)05

Cited by 59 publications

(83 citation statements)

References 34 publications

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“…Also, the patients of heart failure and COPD need more extended hospitalization and lower death rate in ICU when compared with sepsis patient. These findings have described in previous studies [27] [28], found that one-third of 119 COPD patients who admitted to ICU mechanically ventilated for a median duration of 3 days and nine days in the hospital.…”

Section: Discussionsupporting

confidence: 83%

Invasive Procedures and Length of Stay among Critically Ill Patients in ICU over Three Years: A Retrospective Study

Alnaeem¹,

Abuatallah²

2019

OJN

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Introduction: Intensive care unit (ICU) provides advanced specialized medical and nursing care for critically ill patients. Advanced monitoring techniques are needed to prevent physiologic deterioration, while the underlying disease treated and resolved. Frequents invasive procedure and treatment are used and affect the death rate and length of hospitalization. This study aimed to describe the variables associated with critically ill patients and describe the standard invasive procedures or treatments used among patients in ICU. Method: A retrospective comparative study which utilized the ICU electronic database. The data of 446 dead patients who have admitted to ICU between January 2014 and December 2016 as a case of sepsis, heart failure or COPD exacerbation were enrolled. Result: Almost of all patients had received intravenous fluid and vasoactive drugs. The mechanical ventilation support and insertion of the indwelling urethral catheter commonly used among patients with critical illnesses; 78.3%, 41.3% respectively. One-third of all sepsis and heart failure patients were received CVC during ICU stay; patients with sepsis illness had less hospital length of stay than patients with heart failure and COPD (p < 0.05). Also, patients with sepsis illness had less hospital LOS than patients with heart failure and COPD (p < 0.05). There were no significant differences between ICU length of stay based on patients critical illness. Conclusion: We found a reduction in the death number among sepsis, heart failure and COPD patients with move forwards in years, the variety of death rate depends on the type of invasive procedure and treatment performed for each illness, mechanical ventilation support and insertion of indwelling urethral catheter commonly used among patients with critical illnesses.

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Section: Discussionsupporting

confidence: 83%

Invasive Procedures and Length of Stay among Critically Ill Patients in ICU over Three Years: A Retrospective Study

Alnaeem¹,

Abuatallah²

2019

OJN

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“…The possible explanation for this association could be related that mechanical ventilators initiated for the patients with respiratory failure, unable to protect the airway and hemodynamic instability. Furthermore, patients who need intubation and mechanical ventilator more vulnerable for ventilator associated pneumonia and other nosocomial infections (23,24). Our study reveled that patients who presented with abnormal mental status were more likely to die than conscious patients (AOR: 2.741, P<0.001).…”

Section: Discussionmentioning

confidence: 99%

Admission pattern, Clinical outcome and associated factors among patients admitted in medical intensive care unit at University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia, 2019. A retrospective cross-sectional study.

Tesema

Lema

Mesfin

et al. 2019

Preprint

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Objective: To determine the admission patterns, clinical outcomes and associated factors among patients admitted in medical intensive care unit (MICU). Results: A total of 738 patients were admitted to MICU during September 2015- April 2019. Five hundred and four patients (68%) of all ICU admissions had complete data. Out of the 504 patients, 268 (53.2%) patients were females. Cardiovascular disease 182(36.1%) was the commonest categorical admission diagnosis. The overall mortality rate of the MICU was 38.7 %. In the multivariate analysis, mortality was associated with need for mechanical ventilation (AOR=5.87, 95% CI: 3.24 - 10.65) and abnormal mental status at admission (AOR = 2.8.8, 95% CI: 1.83-4.29). Patients who stayed less than four days in MICU are 5 times more likely to dies than who stayed(AOR= 5.58, 95% CI: 3.58- 8.69). In this study, the overall mortality was considerably high. Need for mechanical ventilator, length of ICU stay and mental status at admission were strongly associated with clinical outcome of patients admitted to MICU. Therefore, we recommend improving the acute critical care through the expansion of the care, supply emergency equipment’s and medications and implementation of admission protocols. Key words: Admission, Intensive care unit, Length of stay, Mortality, Outcome

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“…is prospective study was performed in a 24-bed medical ICU at Chang Gung Memorial Hospital, Taiwan. e inclusion criteria for this study were as follows: (1). patients who had been mechanically ventilated for more than 24 h with PSV levels of 8 cmH 2 O, PEEP ≤8 cmH 2 O, and FiO 2 ≤40%.…”

Section: Methodsmentioning

confidence: 99%

“…For patients with acute respiratory failure, mechanical ventilation (MV) is the cornerstone of management. Patients admitted to the intensive care unit (ICU) who require MV are expected to have higher mortality rates than those who do not require respiratory support [1]. e application of the mechanical ventilator is crucial for patients with critical illness, especially during the weaning process.…”

Section: Introductionmentioning

confidence: 99%

Comparisons of Metabolic Load between Adaptive Support Ventilation and Pressure Support Ventilation in Mechanically Ventilated ICU Patients

Chen

Hsiao

Hsu

et al. 2020

Canadian Respiratory Journal

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Purpose. The aim of this study was to compare the metabolic load between adaptive support ventilation (ASV) and pressure support ventilation (PSV) modes in critically ill patients. Methods. Sequential 20 min ventilation by PSV followed by 20 min ASV in critically ill patients was assessed. ASV was set for full support, i.e., with the minute volume control set at the same level as the minute volume observed during PSV. The trial started from PSV 8 cmH2O and continued with high (PSV 12 cmH2O) to low (PSV 0) conditions or low to high conditions, in random order. The oxygen consumption (VO2), production of carbon dioxide (VCO2), and energy expenditure (EE) were measured by indirect calorimetry (IC). Results. Twenty-four patients with critical illness participated in the study. Comparing with the PSV mode, the EE in the ASV mode was lower in the level of PSV 0 cmH2O (1069 ± 73 vs. 1425 ± 76 kcal), PS 8 cmH2O (1116 ± 70 vs. 1284 ± 61 kcal), and PS 12 cmH2O (1017 ± 70 vs. 1169 ± 58 kcal) (p<0.05). The VO2, VCO2, and P0.1 in PSV were significantly higher than those in ASV (p<0.05). Conclusion. In patients with critical illness, the application of ASV set for full support was associated with a lower metabolic load and respiratory drive than in any of the studied PSV conditions.

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Mechanical ventilation in patients in the intensive care unit of a general university hospital in southern Brazil: an epidemiological study

Cited by 59 publications

References 34 publications

Invasive Procedures and Length of Stay among Critically Ill Patients in ICU over Three Years: A Retrospective Study

Invasive Procedures and Length of Stay among Critically Ill Patients in ICU over Three Years: A Retrospective Study

Admission pattern, Clinical outcome and associated factors among patients admitted in medical intensive care unit at University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia, 2019. A retrospective cross-sectional study.

Comparisons of Metabolic Load between Adaptive Support Ventilation and Pressure Support Ventilation in Mechanically Ventilated ICU Patients

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