Involuntary cough strength and extubation outcomes for patients in an ICU

Wen Lin Su, Yeong Hwang Chen, Chien Wen Chen, Shih Hsing Yang, Chien Ling Su, Wann Cherng Perng, Chin Pyng Wu, Jenn Han Chen

研究成果: 雜誌貢獻文章同行評審

59 引文 斯高帕斯(Scopus)

摘要

Background: Removing the artificial airway is the lasl slep in the mechanical ventilation withdrawal process. In order Io assess cough effectiveness, a critical component of this process, we evaluated the involuntary cough peak flow (CPFi) to predict the exlubalion outcome for palienls weaned from mechanical ventilation in ICUs. Methods: One hundred fifty patients were weaned from ventilators, passed a spontaneous breathing trial (SBT), and were judged by their physician to be ready for extubation in the Tri-Serviee General Hospital ICUs from February 2003'to July 2003. CPFi was induced by 2 mL of normal saline solution at the end of inspiration and measured using a hand-held respiratory mechanics monitor. All patients were then extubated. Results: Of 150 enrolled patients for this study, 118 (78.7%) bad successful extubation and 32 (21.3%) failed. In the univariate analysis, there were higher Acule Physiology and Chronic Health Evaluation (APACHE) II scores (16.0 vs 18.5, F = .018), less negative maximum inspiratory pressure (-45.0 vs -39.0, F =.010), lower cough peak flows (CPFs) (74.0 vs 42.0 Iimin, P<.001), longer poslexlubalion hospital slays (15.0 vs 31.5 days, F<.001), and longer poslexlubalion ICU slays (1.0 vs 9.5 days, F
原文英語
頁(從 - 到)777-782
頁數6
期刊Chest
137
發行號4
DOIs
出版狀態已發佈 - 四月 1 2010

ASJC Scopus subject areas

  • 肺和呼吸系統醫學
  • 重症監護和重症監護醫學
  • 心臟病學與心血管醫學

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