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Noninvasive mechanical ventilation may be useful in treating patients who fail weaning from invasive mechanical ventilation : a randomized clinical trial

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Noninvasive mechanical ventilation may be useful in treating patients who fail weaning from invasive mechanical ventilation : a randomized clinical trial

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Título Noninvasive mechanical ventilation may be useful in treating patients who fail weaning from invasive mechanical ventilation : a randomized clinical trial
Autor Trevisan, Cristiane Brenner Eilert
Vieira, Silvia Regina Rios
Abstract Results Of 65 patients who failed T-piece trials, 28 were placed on NPPV and 37 were placed on IMV. The ages of patients in the NPPV and IMV groups were 67.6 ± 15.5 and 59.7 ± 17.6 years, respectively. Heart disease, post-surgery respiratory failure, and chronic pulmonary disease aggravation were the most frequent causes of IMV use. In both groups, ventilation time before T-piece trial was 7.3 ± 4.1 days. Heart and respiratory parameters were similar for the two groups at 1 and 30 minutes of T-piece trial. The percentage of complications in the NPPV group was lower (28.6% versus 75.7%), with lower incidences of pneumonia and tracheotomy. Length of stay in the intensive care unit and mortality were not statistically different when comparing the groups. Conclusion The results suggest that NPPV is a good alternative for ventilation of patients who fail initial weaning attempts. NPPV reduces the incidence of pneumonia associated with mechanical ventilation and the need for tracheotomy.
Contido em Critical care. London. Vol. 12, no. 2 (Apr. 2008), p. 1-8
Assunto Ventilação mecânica
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/21546
Arquivos Descrição Formato
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