Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy
BACKGROUND: Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The...
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| Veröffentlicht in: | World journal of emergency medicine 2015, Vol.6 (3), p.196-200 |
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| creator | Pu, Xue-Xue Wang, Jiong Yan, Xue-Bo Jiang, Xue-Qin |
| description | BACKGROUND: Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning strategy in patients after tracheostomy.METHODS: Fifty patients including 24 patients with withdrawal of mechanical ventilation(conventional group) and 26 patients with sequential invasive-noninvasive weaning by directly plugging of tracheostomy(sequential group) were analyzed retrospectively after appearance of pulmonary infection control(PIC) window. The analysis of arterial blood gases, ventilator-associated pneumonia(VAP) incidence, the total duration of mechanical ventilation, the success rate of weaning and total cost of hospitalization were compared between the two groups.RESULTS: Arterial blood gas analysis showed that the sequential weaning group was better than the conventional weaning group 1 and 24 hours after invasive ventilation. The VAP incidence was lowered, the duration of mechanical ventilation shortened, the success rate of weaning increased, and the total cost of hospitalization decreased.CONCLUSION: Sequential invasive-noninvasive ventilator weaning is feasible in patients after tracheostomy. |
| doi_str_mv | 10.5847/wjem.j.1920-8642.2015.03.006 |
| format | Article |
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The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning strategy in patients after tracheostomy.METHODS: Fifty patients including 24 patients with withdrawal of mechanical ventilation(conventional group) and 26 patients with sequential invasive-noninvasive weaning by directly plugging of tracheostomy(sequential group) were analyzed retrospectively after appearance of pulmonary infection control(PIC) window. The analysis of arterial blood gases, ventilator-associated pneumonia(VAP) incidence, the total duration of mechanical ventilation, the success rate of weaning and total cost of hospitalization were compared between the two groups.RESULTS: Arterial blood gas analysis showed that the sequential weaning group was better than the conventional weaning group 1 and 24 hours after invasive ventilation. The VAP incidence was lowered, the duration of mechanical ventilation shortened, the success rate of weaning increased, and the total cost of hospitalization decreased.CONCLUSION: Sequential invasive-noninvasive ventilator weaning is feasible in patients after tracheostomy.</description><identifier>ISSN: 1920-8642</identifier><identifier>DOI: 10.5847/wjem.j.1920-8642.2015.03.006</identifier><identifier>PMID: 26401180</identifier><language>eng</language><publisher>China: World Journal of Emergency Medicine (WJEM)</publisher><subject>Antibiotics ; Blood gas analysis ; Chronic obstructive pulmonary disease ; Disease control ; Gases ; Infections ; Intubation ; Original ; Ostomy ; Patients ; Pneumonia ; Respiration ; Respiratory therapy ; Success ; Ventilators</subject><ispartof>World journal of emergency medicine, 2015, Vol.6 (3), p.196-200</ispartof><rights>Copyright World Journal of Emergency Medicine (WJEM) 2015</rights><rights>Copyright: © World Journal of Emergency Medicine 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-18979165725eb5a06dc45c3be099ee270ca059c10741347d73a4e35bf8fc62353</citedby><cites>FETCH-LOGICAL-c470t-18979165725eb5a06dc45c3be099ee270ca059c10741347d73a4e35bf8fc62353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/86073X/86073X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566009/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566009/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26401180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pu, Xue-Xue</creatorcontrib><creatorcontrib>Wang, Jiong</creatorcontrib><creatorcontrib>Yan, Xue-Bo</creatorcontrib><creatorcontrib>Jiang, Xue-Qin</creatorcontrib><title>Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy</title><title>World journal of emergency medicine</title><addtitle>World Journal of Emergency Medicine</addtitle><description>BACKGROUND: Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning strategy in patients after tracheostomy.METHODS: Fifty patients including 24 patients with withdrawal of mechanical ventilation(conventional group) and 26 patients with sequential invasive-noninvasive weaning by directly plugging of tracheostomy(sequential group) were analyzed retrospectively after appearance of pulmonary infection control(PIC) window. The analysis of arterial blood gases, ventilator-associated pneumonia(VAP) incidence, the total duration of mechanical ventilation, the success rate of weaning and total cost of hospitalization were compared between the two groups.RESULTS: Arterial blood gas analysis showed that the sequential weaning group was better than the conventional weaning group 1 and 24 hours after invasive ventilation. The VAP incidence was lowered, the duration of mechanical ventilation shortened, the success rate of weaning increased, and the total cost of hospitalization decreased.CONCLUSION: Sequential invasive-noninvasive ventilator weaning is feasible in patients after tracheostomy.</description><subject>Antibiotics</subject><subject>Blood gas analysis</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Disease control</subject><subject>Gases</subject><subject>Infections</subject><subject>Intubation</subject><subject>Original</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Respiration</subject><subject>Respiratory therapy</subject><subject>Success</subject><subject>Ventilators</subject><issn>1920-8642</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkU2L2zAQhnVo6S7p_oViaA-9xB1Z31AKZdl-wEIPbc9CUcaOjS1lJSdL_n1lNhva6jLDzDsvM3oIeUehFpqrD48DTvVQU9PAWkve1A1QUQOrAeQLcn2pX5GbnAcoT1OpFX1FrhrJgVIN16T7iQ8HDHPvxqoPR5f7I65DDM95NaHfudD70j8uutHNfQzVI5Zi6Ko8Jzdjd6ramKp96RVNrlw7Y6pKy-8w5jlOp9fkZevGjDfnuCK_v9z9uv22vv_x9fvt5_u15wrmNdVGGSqFagRuhAO59Vx4tkEwBrFR4B0I4ykoThlXW8UcRyY2rW69bJhgK_LpyXd_2Ey49WWd5Ea7T_3k0slG19t_O6Hf2S4eLRdSAphi8P5skGL5mTzbqc8ex9EFjIdsqaLSMGMaXaRv_5MO8ZBCOc82FBgwRktYkY9PKp9izgnbyzIU7ALSLiDtYBdgdgFmF5AWmC0gy_ibvw-6DD8jLAJ29t_F0D0UKBeN4gYMSC2Aa24E41rQkmnB2R-0nq9L</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Pu, Xue-Xue</creator><creator>Wang, Jiong</creator><creator>Yan, Xue-Bo</creator><creator>Jiang, Xue-Qin</creator><general>World Journal of Emergency Medicine (WJEM)</general><general>Second Affiliated Hospital of Zhejiang University School of Medicine</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>~WA</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BVBZV</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2015</creationdate><title>Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy</title><author>Pu, Xue-Xue ; Wang, Jiong ; Yan, Xue-Bo ; Jiang, Xue-Qin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-18979165725eb5a06dc45c3be099ee270ca059c10741347d73a4e35bf8fc62353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Antibiotics</topic><topic>Blood gas analysis</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Disease control</topic><topic>Gases</topic><topic>Infections</topic><topic>Intubation</topic><topic>Original</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Respiration</topic><topic>Respiratory therapy</topic><topic>Success</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pu, Xue-Xue</creatorcontrib><creatorcontrib>Wang, Jiong</creatorcontrib><creatorcontrib>Yan, Xue-Bo</creatorcontrib><creatorcontrib>Jiang, Xue-Qin</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>East & South Asia Database</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pu, Xue-Xue</au><au>Wang, Jiong</au><au>Yan, Xue-Bo</au><au>Jiang, Xue-Qin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy</atitle><jtitle>World journal of emergency medicine</jtitle><addtitle>World Journal of Emergency Medicine</addtitle><date>2015</date><risdate>2015</risdate><volume>6</volume><issue>3</issue><spage>196</spage><epage>200</epage><pages>196-200</pages><issn>1920-8642</issn><abstract>BACKGROUND: Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning strategy in patients after tracheostomy.METHODS: Fifty patients including 24 patients with withdrawal of mechanical ventilation(conventional group) and 26 patients with sequential invasive-noninvasive weaning by directly plugging of tracheostomy(sequential group) were analyzed retrospectively after appearance of pulmonary infection control(PIC) window. The analysis of arterial blood gases, ventilator-associated pneumonia(VAP) incidence, the total duration of mechanical ventilation, the success rate of weaning and total cost of hospitalization were compared between the two groups.RESULTS: Arterial blood gas analysis showed that the sequential weaning group was better than the conventional weaning group 1 and 24 hours after invasive ventilation. 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| subjects | Antibiotics Blood gas analysis Chronic obstructive pulmonary disease Disease control Gases Infections Intubation Original Ostomy Patients Pneumonia Respiration Respiratory therapy Success Ventilators |
| title | Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy |
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