지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 273 - 280 (8page)
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초록· 키워드
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Background: Weaning from mechanical ventilation is difficult in the intensive care unit (ICU). Many controversial questions remain unanswered concerning the predictors of weaning failure. This study investigates patient characteristics and delayed weaning after lung transplantation.
Methods: This study retrospectively reviewed the medical records of 17 lung transplantation patients from October 2012 to December 2013. Patients able to be weaned from mechanical ventilation within 8 days after surgery were assigned to an early group (n = 9), and the rest of the patients were assigned to the delayed group (n=8). Patients’ intraoperative and postoperative characteristics were collected and analyzed, and conventional weaning predictors, including rapid shallow breathing index (RSBI), were also assessed.
Results: The results of the early group showed a significantly shorter ICU stay in addition to a shorter hospitalization overall. Notably, the early group had a higher body mass index (BMI) than the delayed group (20.7 vs. 16.9, p = 0.004). In addition, reopening occurred more frequently in the delayed group (1/9 vs. 5/8, p = 0.05). During spontaneous breathing trials, tidal volume (TV) and arterial oxygen tension were significantly higher in the early group compared to the delayed weaning group, but differences in RSBI and respiratory rate (RR) between groups were not statistically significant.
Conclusions: Low BMI might be associated with delayed ventilator weaning in lung transplantation patients. In addition, instead of the traditional weaning predictors of RSBI and RR, TV might be a better predictor for ventilator weaning after lung transplantation.
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참고문헌 (24)
참고문헌 신청
Boles JM / 2007 / W
Brochard L / 2005 / Pressure support is the preferred weaning method / As presented at the 5th International Consensus Conference in Intensive Care Medicine: Weaning from Mechanic
Frutos-Vivar F / 2006 / Risk factors for extubation failure in patients following a successful spontaneous breathing trial / Chest 130 : 1664 ~ 1671
Gupta R / 2011 / The effect of low body mass index on outcome in critically ill surgical patients / Nutr Clin Pract 26 : 593 ~ 597
Hansen LN / 2003 / Early extubation after single-lung transplantation: analysis of the first 106 cases / J Cardiothorac Vasc Anesth 17 : 36 ~ 39
Brochard L / 2005 / Pressure support is the preferred weaning method / As presented at the 5th International Consensus Conference in Intensive Care Medicine: Weaning from Mechanic
Frutos-Vivar F / 2006 / Risk factors for extubation failure in patients following a successful spontaneous breathing trial / Chest 130 : 1664 ~ 1671
Gupta R / 2011 / The effect of low body mass index on outcome in critically ill surgical patients / Nutr Clin Pract 26 : 593 ~ 597
Hansen LN / 2003 / Early extubation after single-lung transplantation: analysis of the first 106 cases / J Cardiothorac Vasc Anesth 17 : 36 ~ 39
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