Weakness and Fluid Overload Hinder Weaning. Or Do They?

Subirá, Carlés; Fernández, Rafael

doi:10.4187/respcare.04264

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…The patient 's urine production is also not reach the target of 0.5-1 ml/kg/hour, only ranging from 50-200 ml per 24 hours so patient This helped diuretic, and done restriction fluid with a target fluid balance daily negative, with monitor hemodynamics and urine output of the patient. [7,8,9,14] Hemodialysis is a process used in patients with end-stage renal disease or ESRD who require long-term or permanent therapy. Goal done hemodialysis in patients this is to remove toxic nitrogenous substances from the blood and excrete excess water.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] Mechanical ventilation can complicate weaning due to various reasons, including weakness muscle, enhancement burden respiration, disturbance drives ventilation, disturbance oxygen carrying capacity, cardiac dysfunction and disturbance of sputum cleaning. [1,6,8] Other predictor of weaning complication is old age, long mechanical ventilation usage, lung infection or history of chronic obstructive pulmonary disease and positive fluid accumulation balance. Positive fluid balance on ESRD 5D patient will increase risk of death, and complication like pulmonary edema, lung infection will cause disturbance of gas exchange, decline compliance and increasing WOB, exacerbate respiratory failure as well as improve need mechanical ventilation Fluid Restriction done to prevent fluid overloaded.…”

Section: Introductionmentioning

confidence: 99%

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Weaning Difficulty in Patient with End Stage Renal Disease Acute with Respiratory Failure due to Pulmonary Edema and Pneumonia

Bangun

Suwarman

2023

JSocMed

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Introduction: End Stage Renal Disease (ESRD) 5D patient have potential to respiratory failure due to excess fluid, thus increasing the incidence of repeated hospital admissions. Deaths were reported in about 15%– 30% cases, where 50%–60% of patients needed respiratory support with mechanical ventilation. About 30%– 40% of patients had complications in the weaning process from mechanical ventilation. Prolonged mechanical ventilation increased mortality and morbidity, the length of stay periods and costs. Case Report: This case report will discuss the difficult weaning from mechanical ventilation in patients with ESRD 5D who have respiratory failure due to edema pulmonary and pneumonia who were hospitalized at the Intensive Care Unit (ICU) of Hasan Sadikin Hospital - Bandung for 20 days Conclusion: Weaning difficulty due to accumulation positive fluid balance during hospitalization lead to longer use of mechanical ventilation and pulmonary infection get heavier. A positive cumulative fluid balance could be one factor of weaning difficulty

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Weaning Difficulty in Patient with End Stage Renal Disease Acute with Respiratory Failure due to Pulmonary Edema and Pneumonia

Bangun

Suwarman

2023

JSocMed

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Factors Influencing Weaning Older Adults From Mechanical Ventilation

Stieff

Lim

Chen

2017

Critical Care Nursing Quarterly

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This study aim was to describe the influences that affect weaning from mechanical ventilation among older adults in the intensive care unit (ICU). Adults older than 65 years comprised only 14.5% of the US population in 2014; however, they accounted up to 45% of all ICU admissions. As this population grows, the number of ICU admissions is expected to increase. One of the most common procedures for hospitalized adults 75 years and older is mechanical ventilation. An integrative review methodology was applied to analyze and synthesize primary research reports. A search for the articles was performed using the PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases; using the keywords and Boolean operators "older adults," "weaning," "mechanical ventilation," and intensive care unit. Although physiologic changes that occur with aging place older adults at higher risk for respiratory complications and mortality, there are many factors, other than chronological age, that can determine a patient's ability to be successfully weaned from mechanical ventilation. Of the 6 studies reviewed, all identified various predictors of weaning outcome, which included maximal inspiratory pressure, rapid shallow breathing index, fluid balance, comorbidity burden, severity of illness, emphysematous changes, and low serum albumin. Age, in and of itself, is not a predictor of weaning from mechanical ventilation. More studies are needed to describe the influences affecting weaning older adults from mechanical ventilation.

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Weakness and Fluid Overload Hinder Weaning. Or Do They?

Cited by 2 publications

References 8 publications

Weaning Difficulty in Patient with End Stage Renal Disease Acute with Respiratory Failure due to Pulmonary Edema and Pneumonia

Weaning Difficulty in Patient with End Stage Renal Disease Acute with Respiratory Failure due to Pulmonary Edema and Pneumonia

Factors Influencing Weaning Older Adults From Mechanical Ventilation

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