Non-invasive ventilation (NIV) decreases the need for mechanical ventilation in the early period of acute hypercapnic respiratory failure and factors for success have been studied well.
He used this goal in a computer-driven protocol for weaning from mechanical ventilation with success.
The aim was to determine the nonventilatory factors that affect the noninvasive mechanical ventilation (NIMV) success in patients with hypercapnic respiratory failure.
We compared demographic data, ICU mortality rates, length of ICU stay, APACHE II scores, Sequential Organ Failure Assessment (SOFA) scores, patients who received mechanical ventilation, and success rates of weaning in CCT with those in non-CCT.
Third, the duration of mechanical ventilation and the success of extubation depend on intensive care management as a whole (notably the appropriate treatment of an infection, the water sodium balance and acid base balance, nutrition, and sedation).
The proportion of patients with use of prokinetic agents, APACHE II score <20, SOFA score <12, without vasopressor and without mechanical ventilation in the success group was significantly higher than in the failure group (Table 5).
The weaning outcome was assessed depending on the following parameters: extubation success, mechanical ventilation duration, duration of intensive care unit (ICU) stay, reintubation rate, and mortality rate.
a, tracheostomy tube; A, alive; AAA, abdominal aortic aneurysm; CAD, coronary artery disease; CP, cor pulmonale; D, died; ET, endotracheal tube; F, failure; GI, gastrointestinal; ICU, intensive care unit; ID, internal diameter of tracheostomy tube; MIP, maximum inspiratory pressure; MV, mechanical ventilation; NA, not applicable; S, success.
Numerous parameters have been suggested for the prediction of weaning from mechanical ventilation; however, these parameters have limited success in the prediction of weaning outcome.
Success in weaning from mechanical ventilation in these patients remains a big problem.
