Artigo

Weaning predictors do not predict extubation failure in simple-to-wean patients

CASSIANO TEIXEIRA, LUIS GUILHERME ALEGRETTI BORGES, AUGUSTO SAVI, FERNANDA CALLEFE MOREIRA, CRISTIANE BRENNER EILERT TREVISAN, GAÚCHO WEANING STUDY GROUP, KAMILE BORBA PINTO, RICARDO WICKERT, JOYCE MICHELE SILVA, PRISCILA ALVES PEREIRA CIDADE, FERNANDA GEHM, ROSELAINE PINHEIRO DE OLIVEIRA, JUÇARA GASPARETTO MACCARI, SILVIA REGINA RIOS VIEIRA

Jounal of Critical Care, v. 27, n. 0, p. 1-8, 2012.

Motivo: Produção Colaborador HMV

Setor HMV: CTI Adulto

Área da saúde: Medicina Intensiva

Resumo: Background: Predictor indexes are often included in weaning protocols and may help the intensive care unit (ICU) staff to reach expected weaning outcome in patients on mechanical ventilation. Objective: The objective of this study is to evaluate the potential of weaning predictors during extubation. Design: This is a prospective clinical study. Settings: The study was conducted in 3 medical-surgical ICUs. Patients: Five hundred consecutive unselected patients ventilated for more than 48 hours were included. Methods and Measurements: All patients were extubated after 30 minutes of successful spontaneous breathing trial and followed up for 48 hours. The protocol evaluated hemodynamics, ventilation parameters, arterial blood gases, and the weaning indexes frequency to tidal volume ratio; compliance, respiratory rate, oxygenation, and pressure; maximal inspiratory pressure; maximal expiratory pressure;

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