Study of the characteristics and outcomes of patients on mechanical ventilation in the intensive care unit of EL-Mahalla Chest Hospital

Zamzam, Mohamed A.; Aziz, Amal A. Abd El; Elhefnawy, Maha Yousif; Shaheen, Nagia A.

doi:10.1016/j.ejcdt.2015.04.001

Cited by 15 publications

(34 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These improvements are similar to those published in a literature in a similar population of patients(10-15). The current study showed that 31% of the patients demonstrated NIV failure which agree with other rates reported in other studies (9,16) that showed NIV failure rates between 7% and 62.5%. The failure group had significantly longer duration of mechanical ventilation ,ICU and hospital length of stay and had significantly higher complications and mortality rate.…”

Section: Discussionsupporting

confidence: 92%

Non Invasive Mechanical Ventilation in Acute Respiratory Failure

Khalaf

Abouelella

Mohammadien

2017

Sohag Medical Journal

View full text Add to dashboard Cite

Objectives : Acute respiratory failure is a common clinical condition encountered in emergency department and intensive care units (ICU). The use of NIV during acute respiratory failure (ARF) has increased since the late 1990s for all diagnoses, including patients with and without chronic obstructive pulmonary disease (COPD). The use of NIV is associated with reduced tracheal intubation, duration of hospitalization, and mortality. Aim of the work: To evaluates the effectiveness of Non invasive ventilation in the management of acute hypercapnic respiratory failure of different aetiologies as acute exacerbation of COPD, and acute hypoxemic respiratory failure. Design of study: Prospective, Observational, Single-center study. Patients and Methods: 103 patients with acute respiratory failure (ARF) were admitted to Respiratory Intensive Care Unit (RICU) of Chest Department at Assuit University Hospital and received non invasive ventilation, in all patients demographic , clinical and functional parameters were recorded including the cause of acute respiratory failure. NIV success was defined as clinical and gasometric improvement and discharge to regular ward, while need of endotrachial intubation was considered NIV failure. Results: one hundred and three patients with mean age 59.1 years were included in the study,62 (60%) were males and 41(40%) were females, Baseline pH, PaCO2 and PaO2 were 7.51±0.09, 72±21.63and 59.41±20.34 mmHg respectively. The success rate with NIPPV was 69%, with 71of 103 patients weaned successfully. Significant improvements were observed at 2 hour,24-48hrs following institution of NIPPV in pH (7.34±0.08, P < 0.02), PaCO2 (62.87±17.94, P < 0.002) and PaO2(74.30±14.45 P < 0.001).These improvements maintained (within 24 hrs) postweaning from the ventilator, pH 7.39±0.04, PaCO2 56.76±10.18, PaO2 73.28±10.04 (P < 0.001). Duration of mechanical ventilation , length of ICU stay were significantly longer in NIV failure group (p<0.0001). , the complications and death were significantly higher in NIV failure group (p<0.00001),(p<0.0001). Serum albumin level was significantly lower in the NIV failure group (p<0.01). Conclusion: The use of NIV in patients presenting with ARF of diverse etiology has shown to be effective in the improvement of clinical and gasometric parameters, in preventing endotracheal intubation, and improving overall survival .

show abstract

Section: Discussionsupporting

confidence: 92%

Non Invasive Mechanical Ventilation in Acute Respiratory Failure

Khalaf

Abouelella

Mohammadien

2017

Sohag Medical Journal

View full text Add to dashboard Cite

show abstract

“…The addition of IMT to a general weaning protocol leads to clinically relevant improvements in chronic ill patients with difficult and prolonged weaning. The effectiveness of the training depends on [1]: the way that IMT is applied [2] the quality of assessment [3]; the correct patient selection [4]; the use of adequate levels of resistive load; and [5] adequate duration of a session. Finally, an individualized protocol with the tapered flow resistive loading might be promising for these patients.…”

Section: Resultsmentioning

confidence: 99%

“…Previous studies suggest that a weaning protocol should be implemented in order to provide daily assessments of patients who may be ready for weaning from mechanical ventilation [39]. The most conventional interventions used for this purpose related are [1]: Spontaneous breathing trials (SBT) [39,2] early mobilization [58,3] noninvasive ventilation [59]; and [4] inspiratory muscle training [29]. Of note, while all the interventions described are instrumental in weaning patients form the ventilator, none of these can be used in isolation and must be part of an overall protocol or approach to the mechanically ventilated patient.…”

Section: Interventions For Weaning From Mechanical Ventilationmentioning

confidence: 99%

See 1 more Smart Citation

Weaning failure and respiratory muscle function: What has been done and what can be improved?

Magalhães

Camillo

Langer

et al. 2018

Respiratory Medicine

View full text Add to dashboard Cite

show abstract

“…Mechanical ventilation, which is used to treat life-threatening conditions, has become a way of managing critically ill patients 1 . However, regardless of the advancement modalities of mechanical ventilation, the technology may contribute to physiological and psychological complications if not well managed 2 .…”

Section: Introductionmentioning

confidence: 99%

The effect of an educational intervention on nurses’ knowledge of managing endotracheal tube cuff pressure in intensive care units: A quasi-experimental study

Mpasa

Rooyen

Venter

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Previous studies conducted on nurses’ knowledge regarding endotracheal tube cuff pressure revealed that there were differences in intensive care nurses’ knowledge, leading to varying practices. This study aimed to evaluate the effect of an educational intervention based on existing evidence-based guidelines, on the knowledge of nurses regarding managing endotracheal tube cuff pressures in Malawian intensive care units.Methods The study followed a quasi-experimental approach, with a pre- and post-test design using an educational intervention. Intensive care unit nurses were randomly assigned to two intervention groups. Both groups received a half-day educational session, a printed version of the evidence-based guidelines, a printed and laminated summary of the guidelines and a related algorithm. Additionally, Group 2 received four monitoring visits. Pre-and post-test questionnaires were conducted between February and August 2016. Descriptive and inferential data analysis (a chi-square test and t-test) were utilised.Results Knowledge on the nursing care practices for the management of endotracheal tube cuff pressure was improved for both groups following the educational intervention, although only the results comparing the Intervention 2 group participants’ indicate that the level of knowledge were significant (t(d.f.=48)=2.08, p=0.043, d=0.59).Conclusions The implementation of a formal training programme and mentorship programme for nurses working in the intensive care unit in Malawi would be of great benefit to equip nurses with adequate knowledge and skills for managing endotracheal tube cuff pressure. Follow-up studies would also assist in understanding how the implementation of guidelines could be done most effectively to achieve better knowledge outcomes among nurses concerning nursing care practices in this context.

show abstract

Study of the characteristics and outcomes of patients on mechanical ventilation in the intensive care unit of EL-Mahalla Chest Hospital

Cited by 15 publications

References 37 publications

Non Invasive Mechanical Ventilation in Acute Respiratory Failure

Non Invasive Mechanical Ventilation in Acute Respiratory Failure

Weaning failure and respiratory muscle function: What has been done and what can be improved?

The effect of an educational intervention on nurses’ knowledge of managing endotracheal tube cuff pressure in intensive care units: A quasi-experimental study

Contact Info

Product

Resources

About