Effect of Noninvasive Ventilation After Unplanned Extubation.
Academic Medical Centers
Adult
Aged
Airway Extubation
Critical Care
/ methods
Databases, Factual
Female
Follow-Up Studies
France
Hospital Mortality
Humans
Intensive Care Units
Length of Stay
Male
Middle Aged
Noninvasive Ventilation
/ methods
Respiratory Insufficiency
/ diagnosis
Retreatment
/ methods
Retrospective Studies
Risk Assessment
Statistics, Nonparametric
Survival Rate
Treatment Outcome
ICU
noninvasive ventilation
outcome
prophylaxis
re-intubation
unplanned extubation
Journal
Respiratory care
ISSN: 1943-3654
Titre abrégé: Respir Care
Pays: United States
ID NLM: 7510357
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
pubmed:
8
11
2018
medline:
1
5
2020
entrez:
8
11
2018
Statut:
ppublish
Résumé
Our study set out to test the effect of noninvasive ventilation (NIV) performed after unplanned extubation. Retrospective analysis of prospectively collected data in a university-affiliated mixed ICU of 12 beds during a 5-y period (January 2013 to December 2017). Unplanned extubation was defined as the occurrence of an unplanned removal of the endotracheal tube, whether deliberate or accidental. NIV after an unplanned extubation was not protocolized and was decided by the physician in charge on an individual basis. A total of 121 subjects (median [25th-75th percentile] age, 62.1 [43.3-73.6] y; median [25th-75th percentile] Simplified Acute Physiology Score II, 45 [36-54]) experienced 131 unplanned extubation episodes. Re-intubation was deemed necessary in 35 subjects (28.9%). NIV was used in 24 subjects (19.8%) (prophylactic NIV, NIV after unplanned extubation had uncertain efficacy, especially when provided as rescue management of postextubation respiratory failure.
Sections du résumé
BACKGROUND
BACKGROUND
Our study set out to test the effect of noninvasive ventilation (NIV) performed after unplanned extubation.
METHODS
METHODS
Retrospective analysis of prospectively collected data in a university-affiliated mixed ICU of 12 beds during a 5-y period (January 2013 to December 2017). Unplanned extubation was defined as the occurrence of an unplanned removal of the endotracheal tube, whether deliberate or accidental. NIV after an unplanned extubation was not protocolized and was decided by the physician in charge on an individual basis.
RESULTS
RESULTS
A total of 121 subjects (median [25th-75th percentile] age, 62.1 [43.3-73.6] y; median [25th-75th percentile] Simplified Acute Physiology Score II, 45 [36-54]) experienced 131 unplanned extubation episodes. Re-intubation was deemed necessary in 35 subjects (28.9%). NIV was used in 24 subjects (19.8%) (prophylactic NIV,
CONCLUSIONS
CONCLUSIONS
NIV after unplanned extubation had uncertain efficacy, especially when provided as rescue management of postextubation respiratory failure.
Identifiants
pubmed: 30401754
pii: respcare.06328
doi: 10.4187/respcare.06328
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
248-254Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2019 by Daedalus Enterprises.
Déclaration de conflit d'intérêts
The authors have disclosed no conflicts of interest.