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.
Translated title of the contributionEffect of Noninvasive Positive-Pressure Ventilation on Extubation Failure
Original languageTraditional Chinese
Pages (from-to)33-41
Number of pages9
Journal輔仁醫學期刊
Volume3
Issue number1
Publication statusPublished - 2005

Keywords

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

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