非侵入性正壓呼吸器對拔管失敗之影響

Translated title of the contribution: Effect of Noninvasive Positive-Pressure Ventilation on Extubation Failure

林恆毅, 蘇千玲, 楊式興, 陳群互, 陳建文, 吳清平

Research output: Contribution to journalArticle

Abstract

Background and Purpose: Mechanical ventilation can save the life of a patient with acute respiratory failure, but efforts should focus on weaning the patient from mechanical ventilation as rapidly as possible after recovery. Because complicationswith extubation failure are high and may increase morbidity and mortality, prevention of extubation failure is critically important. We applied BiPAP, a noninvasive mode of pressure support ventilation, in an attempt to decrease the rate of reintubation. Methods: We prospectively enrolled 100 patients who had undergone extubation by T-piece weaning for 2 h. After extubation, patients were randomly divided into 2 groups with an O2 mask ormask-BiPAP. Results: Extubation was successful in 85 patients (85%) and failed in 15 patients (15%). The extubation failure ratewas 18%in themask-BiPAP study group and 12% in the O2-mask control group, a difference that was not statistically significant. Among the 15 patients in whom extubation failed, 6 required reintubation and 2 died (2/15; 13.33%), but the reintubation rate (6/15; 40%) could have been reduced. Conclusion: Noninvasive ventilation did not affect the outcome of extubation after the 2-h T-piece trial.
Original languageTraditional Chinese
Pages (from-to)33-41
Number of pages9
Journal輔仁醫學期刊
Volume3
Issue number1
Publication statusPublished - 2005

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Positive-Pressure Respiration
Masks
Weaning
Artificial Respiration
Noninvasive Ventilation
Respiratory Insufficiency
Ventilation
Morbidity
Pressure
Control Groups
Mortality

Keywords

  • non-invasive ventilation
  • T-piece
  • extubation failure rate

Cite this

林恆毅, 蘇千玲, 楊式興, 陳群互, 陳建文, & 吳清平 (2005). 非侵入性正壓呼吸器對拔管失敗之影響. 輔仁醫學期刊, 3(1), 33-41.

非侵入性正壓呼吸器對拔管失敗之影響. / 林恆毅; 蘇千玲; 楊式興; 陳群互; 陳建文; 吳清平.

In: 輔仁醫學期刊, Vol. 3, No. 1, 2005, p. 33-41.

Research output: Contribution to journalArticle

林恆毅, 蘇千玲, 楊式興, 陳群互, 陳建文 & 吳清平 2005, '非侵入性正壓呼吸器對拔管失敗之影響', 輔仁醫學期刊, vol. 3, no. 1, pp. 33-41.
林恆毅, 蘇千玲, 楊式興, 陳群互, 陳建文, 吳清平. 非侵入性正壓呼吸器對拔管失敗之影響. 輔仁醫學期刊. 2005;3(1):33-41.
林恆毅 ; 蘇千玲 ; 楊式興 ; 陳群互 ; 陳建文 ; 吳清平. / 非侵入性正壓呼吸器對拔管失敗之影響. In: 輔仁醫學期刊. 2005 ; Vol. 3, No. 1. pp. 33-41.
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title = "非侵入性正壓呼吸器對拔管失敗之影響",
abstract = "背景和目的:探討面罩式“雙氣道正壓式呼吸器”對於T型管兩小時試驗,拔管失敗之影響。方法:選擇100位插管之呼吸器病患,當符合每日篩選指標(daily screen)時,接受2小時T型管自發性呼吸試驗,成功者給予拔除人工氣管插管,隨機使用氧氣面罩(O2 mask)或面罩式雙氣道正壓式呼吸器(NIV)。結果:100位呼吸器病患中有85位(85{\%})拔管成功,15位拔管失敗(15{\%}),NIV組,拔管失敗率是18{\%}(9/50位失敗);而O2 mask的群組是12{\%}(6/50位失敗),在統計學上無顯著差異,15位拔管失敗患者有6位重插管,其中有2位死亡,可讓拔管失敗的病患之再插管率降至(6/15, 40{\%})。結論:通過T型管兩小時自發性呼吸測試之病患,拔管後預防性的使用非侵入性呼吸器無法有效降低拔管失敗率。",
keywords = "非侵入性呼吸器, T型管, 拔管失敗率, non-invasive ventilation, T-piece, extubation failure rate",
author = "林恆毅 and 蘇千玲 and 楊式興 and 陳群互 and 陳建文 and 吳清平",
year = "2005",
language = "繁體中文",
volume = "3",
pages = "33--41",
journal = "輔仁醫學期刊",
issn = "1810-2093",
publisher = "輔仁大學醫學院",
number = "1",

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T1 - 非侵入性正壓呼吸器對拔管失敗之影響

AU - 林恆毅, null

AU - 蘇千玲, null

AU - 楊式興, null

AU - 陳群互, null

AU - 陳建文, null

AU - 吳清平, null

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N2 - 背景和目的:探討面罩式“雙氣道正壓式呼吸器”對於T型管兩小時試驗,拔管失敗之影響。方法:選擇100位插管之呼吸器病患,當符合每日篩選指標(daily screen)時,接受2小時T型管自發性呼吸試驗,成功者給予拔除人工氣管插管,隨機使用氧氣面罩(O2 mask)或面罩式雙氣道正壓式呼吸器(NIV)。結果:100位呼吸器病患中有85位(85%)拔管成功,15位拔管失敗(15%),NIV組,拔管失敗率是18%(9/50位失敗);而O2 mask的群組是12%(6/50位失敗),在統計學上無顯著差異,15位拔管失敗患者有6位重插管,其中有2位死亡,可讓拔管失敗的病患之再插管率降至(6/15, 40%)。結論:通過T型管兩小時自發性呼吸測試之病患,拔管後預防性的使用非侵入性呼吸器無法有效降低拔管失敗率。

AB - 背景和目的:探討面罩式“雙氣道正壓式呼吸器”對於T型管兩小時試驗,拔管失敗之影響。方法:選擇100位插管之呼吸器病患,當符合每日篩選指標(daily screen)時,接受2小時T型管自發性呼吸試驗,成功者給予拔除人工氣管插管,隨機使用氧氣面罩(O2 mask)或面罩式雙氣道正壓式呼吸器(NIV)。結果:100位呼吸器病患中有85位(85%)拔管成功,15位拔管失敗(15%),NIV組,拔管失敗率是18%(9/50位失敗);而O2 mask的群組是12%(6/50位失敗),在統計學上無顯著差異,15位拔管失敗患者有6位重插管,其中有2位死亡,可讓拔管失敗的病患之再插管率降至(6/15, 40%)。結論:通過T型管兩小時自發性呼吸測試之病患,拔管後預防性的使用非侵入性呼吸器無法有效降低拔管失敗率。

KW - 非侵入性呼吸器

KW - T型管

KW - 拔管失敗率

KW - non-invasive ventilation

KW - T-piece

KW - extubation failure rate

M3 - 文章

VL - 3

SP - 33

EP - 41

JO - 輔仁醫學期刊

JF - 輔仁醫學期刊

SN - 1810-2093

IS - 1

ER -