Readiness Testing and Weaning Predictors

Epstein, Scott K.

doi:10.1002/9780470976609.ch19

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…The nurse and respiratory therapist will assist the physician or APC throughout all three steps. 27 Some patients continue receiving mechanical ventilation support for a long time (weeks to months) and may go through repeated attempts to discontinue support before this can be achieved. However, discontinuation of mechanical ventilation may not be possible due to circumstances that cannot be overcome.…”

Section: Documentationmentioning

confidence: 99%

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Mechanical ventilation

Pruitt,

Hodges

2024

Nursing

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Section: Documentationmentioning

confidence: 99%

“…If weaning trials (the second step) are successful, providers may proceed to extubate (the third step). The nurse and respiratory therapist will assist the physician or APC throughout all three steps 27…”

Section: Nursing Considerationsmentioning

confidence: 99%

Mechanical ventilation

Pruitt,

Hodges

2024

Nursing

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“…Thus, the indicators and criteria that consider a pathophysiological mechanism are not valid and accurate enough. Meanwhile, the indicators that consider multiple mechanisms have higher accuracy ( 16 ). There is a higher tendency to determine specific, measurable indicators to predict separation outcomes.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effect of Expiratory Time Constant on Outcome in Intubated Patients with Acute Respiratory Failure Caused by COVID-19 in Critical Care Unit: A Research Study

et al. 2021

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Background: The coronavirus disease 2019 (COVID-19) has a high prevalence and mortality worldwide. Thousands of patients with acute respiratory failure caused by COVID-19 are daily hospitalized in intensive care units (ICUs) around the world. Many of these patients require full mechanical respiratory support and long-term ventilator use. Using different ventilators and calculating important variables can be helpful in meeting therapeutic needs of patients. Objectives: The aim of present study was to investigate the effect of expiratory time constant (RCEXP) on the course of treatment and duration of mechanical ventilation in patients with acute respiratory failure hospitalized in ICU. Methods: The present cross-sectional study was conducted on 60 patients with acute respiratory failure who were hospitalized in the ICU and underwent mechanical ventilation due to COVID-19 in the first six months of 2020. The variables of RCEXP, lung compliance and lung resistance in all patients were recorded daily and analyzed. Then, based on clinical outcome, the patients were divided into two groups: the patients with wean outcome (N = 40) and those with death outcome (N = 20). Results: The mean ± SD of lung compliance in patients who were separated from ventilator and patients with death outcome were 74.73 (18.58) mL/cm H2O and 36.92 (10.56) mL/cm H2O, respectively, which was statistically significant (P = 0.001). The mean ± SD of lung resistance in patients who were separated from ventilator and patients with death outcome were calculated at 9.25 (4.62) and 14 (6.5), respectively, which was statistically significant (P = 0.015). Also, there was a statistically significant difference between the two groups in terms of mean ± SD of RCEXP (0.67 (0.23) vs. 0.49 (0.19), P = 0.010). Conclusions: According to the results of this study, there was a significant difference between high resistance, low compliance, RCEXP, and weaning success of intubation in patients hospitalized in the ICU.

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Readiness Testing and Weaning Predictors

Cited by 2 publications

References 15 publications

Mechanical ventilation

Mechanical ventilation

Investigating the Effect of Expiratory Time Constant on Outcome in Intubated Patients with Acute Respiratory Failure Caused by COVID-19 in Critical Care Unit: A Research Study

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