Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation

Şenay YILMAZ, (Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Eskişehir, Türkiye)
Müge AYDOĞDU, (Gazi Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye)
Gül GÜRSEL (Gazi Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye)
Eurasian Journal of Pulmonology
1 0
Yıl: 2016 Cilt: 18 Sayı: 3 Sayfa Aralığı: 127 - 132 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation

Öz:
Objective: The rapid shallow breathing index (RSBI) is relatively the best predictive parameter for initial assessment of readiness for the discontinuation of mechanical ventilation (MV) support. In this study, we aimed to determine the best pressure combinations that can predict successful RSBI closest to the values calculated in spontaneous ventilation (SV).Methods: Twenty-five mechanically ventilated patients were enrolled in the study. RSBI and other weaning parameters were calculated in different combinations (pressure support ventilation (PSV) 5 cm HO / positive-end expiratory pressure (PEEP) 5 cm H2O; PSV 0 cm H2O/PEEP 5 cm H2O; PSV 5 cm H2O/PEEP 0 cm H2O; PSV 0 cm H2O/PEEP 0 cm H2O) before T-tube trial in all patients. Results: The mean age of the patients was 73±10 years. RSBI did not differ significantly between SV and other combinations. The best correlation with SV was found with 5 cm H2O PSV-0 cm H2O PEEP (p=0.0001, r=0.719) and the worst with 0 cm H2O PSV-5 cm H2O PEEP. RSBI showed no predictive value for weaning success. Respiration rate (f ) was higher in failure than in the success group in PSV 0 cm H2O/PEEP 5 cm H2O and PSV 5 cm H2O/PEEP 0 cm H2O (p=0.030, p=0.030, respectively). f<=27 was considered as a predictive factor for spontaneous breathing trial (SBT) success (PSV 0 cm H2O/PEEP 5 cm H2O; sensitivity 93%, specificity 63%, PSV 15 cm H2O-PEEP 5 cm H2O; sensitivity 81%, specificity 75%). Conclusion: There was a good correlation between RSBI measured by T-tube and different pressure combinations
Anahtar Kelime:

Konular: Solunum Sistemi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Yılmaz Ş, AYDOĞDU M, GÜRSEL G (2016). Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. , 127 - 132.
Chicago Yılmaz Şenay,AYDOĞDU MÜGE,GÜRSEL Gül Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. (2016): 127 - 132.
MLA Yılmaz Şenay,AYDOĞDU MÜGE,GÜRSEL Gül Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. , 2016, ss.127 - 132.
AMA Yılmaz Ş,AYDOĞDU M,GÜRSEL G Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. . 2016; 127 - 132.
Vancouver Yılmaz Ş,AYDOĞDU M,GÜRSEL G Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. . 2016; 127 - 132.
IEEE Yılmaz Ş,AYDOĞDU M,GÜRSEL G "Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation." , ss.127 - 132, 2016.
ISNAD Yılmaz, Şenay vd. "Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation". (2016), 127-132.
APA Yılmaz Ş, AYDOĞDU M, GÜRSEL G (2016). Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. Eurasian Journal of Pulmonology, 18(3), 127 - 132.
Chicago Yılmaz Şenay,AYDOĞDU MÜGE,GÜRSEL Gül Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. Eurasian Journal of Pulmonology 18, no.3 (2016): 127 - 132.
MLA Yılmaz Şenay,AYDOĞDU MÜGE,GÜRSEL Gül Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. Eurasian Journal of Pulmonology, vol.18, no.3, 2016, ss.127 - 132.
AMA Yılmaz Ş,AYDOĞDU M,GÜRSEL G Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. Eurasian Journal of Pulmonology. 2016; 18(3): 127 - 132.
Vancouver Yılmaz Ş,AYDOĞDU M,GÜRSEL G Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation. Eurasian Journal of Pulmonology. 2016; 18(3): 127 - 132.
IEEE Yılmaz Ş,AYDOĞDU M,GÜRSEL G "Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation." Eurasian Journal of Pulmonology, 18, ss.127 - 132, 2016.
ISNAD Yılmaz, Şenay vd. "Determining The Pressure Combination During Mechanical Ventilation that is Best Compatible with the Rapid Shallow Breathing Index Calculated in Spontaneous Ventilation". Eurasian Journal of Pulmonology 18/3 (2016), 127-132.
Sayfa Oluşturulma Tarihi
23-04-2024 0:53

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