Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy

查看全文 作　　者：Xue-xue [1]Pu;Jiong [1]Wang;Xue-bo [1]Yan;Xue-qin [1]Jiang

机构地区：[1]Department of Geriatric Pulmonary Diseases, Anhui Geriatric Institute, First Affiliated Hospital of Anhui Medical University

出　　处：《World Journal of Emergency Medicine》索引2015年第6卷第3期,共5页

基　　金：supported by the fund for clinical research project(2015xkj086) 摘　　要：BACKGROUND: Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning strategy in patients after tracheostomy.METHODS: Fifty patients including 24 patients with withdrawal of mechanical ventilation(conventional group) and 26 patients with sequential invasive-noninvasive weaning by directly plugging of tracheostomy(sequential group) were analyzed retrospectively after appearance of pulmonary infection control(PIC) window. The analysis of arterial blood gases, ventilator-associated pneumonia(VAP) incidence, the total duration of mechanical ventilation, the success rate of weaning and total cost of hospitalization were compared between the two groups.RESULTS: Arterial blood gas analysis showed that the sequential weaning group was better than the conventional weaning group 1 and 24 hours after invasive ventilation. The VAP incidence was lowered, the duration of mechanical ventilation shortened, the success rate of weaning increased, and the total cost of hospitalization decreased.CONCLUSION: Sequential invasive-noninvasive ventilator weaning is feasible in patients after tracheostomy. 关键词：Respiratory failure WEANING TRACHEOSTOMY Sequential invasive-noninvasive ventilation

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Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy

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