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Variables as demographic and hemodynamics data, resource consumption in days of ICU stay, hours of mechanical ventilation, hours of ECMO therapy, complications, outcomes and mortality are analysed.
Mechanical ventilation hours were summarized in cases of repetitive mechanical ventilation periods.
In addition, some predictive capacity of the metabolite panels for inotrope score (RY = 0.64, QY = 0.59) and mechanical ventilation hours (RY = 0.68, QY = 0.37) was evident.
If etomidate administration for anesthesia induction ahead of cardiac surgery would have impaired the clinical outcome, mechanical ventilation hours should also be increased in this group.
These findings lend support to the rationale of directing future exercise-based rehabilitation trials following hospital discharge to patients with ICU-AW, rather than using mechanical ventilation hours or ICU length of stay as inclusion criteria.
(An additional 36,000 adults are admitted to ICUs in private hospitals but their clinical profile is different (APACHE II = 13; median mechanical ventilation hours = 44; ICU mortality = 2.7% vs 7.5%) [ 1]).
Similar(49)
Hyperinflation periods represented 16% of the total duration of mechanical ventilation (8 hours out of the total 48 hours).
Methods: We randomly assigned 386 patients adult (≥18 years) survivors after receiving mechanical ventilation (≥48 hours) to standard care (SC) plus a recovery program or SC alone after discharge from intensive care.
Exclusion criteria were mechanical ventilation <24 hours, brain trauma, any other neurologic pathology, and moribund.
All patients of a 50-bed ICU with mechanical ventilation >24 hours were included.
Inclusion criteria were age >18 years, intubation in the ICU, and expected duration of invasive mechanical ventilation ≥48 hours.
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