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
- 2020.1
- 수록면
- 279 - 285 (7page)
이용수
초록· 키워드
오류제보하기
Background: Identifying when intubated patients are ready to be extubated remains challenging. The negative inspiratory force (NIF) is a recommended predictor of weaning success. However, little is known about the role of NIF in the weaning process for the Asian surgical intensive population, especially for the Vietnamese population. Here, we aimed to investigate the cutoff threshold and predictive value of the NIF index for predicting the success of ventilator weaning in Vietnamese surgical intensive care patients. Methods: A cross-sectional study was conducted at the Surgical Intensive Care Unit of Viet Duc Hospital from October 2016 to August 2017. A total of 64 patients aged 16?70 years undergoing ventilatory support through an orotracheal tube satisfied the criteria for readiness to begin weaning. The correlation between the NIF index with outcomes of the weaning process was analyzed. Specificity (Sp), sensitivity (Se), positive predictive value (PPV), negative predictive value (NPV), receiver operating characteristic (ROC) curve, and area under the curve (AUC) were calculated. Results: The success rate of the entire weaning process was 67.2% (43/64). The median NIF values were ?26.0 cm H2O (interquartile range [IQR], ?28.0 to ?25.0) in the successful weaning group and ?24.0 cm H2O (IQR, ?25.0 to ?23.0) in the weaning failure group (P<0.001). According to ROC analysis, an NIF value ≤?25 cm H2O predicted weaning success (AUC, 0.836) with 91% Se, 62% Sp, 83% PPV, and 77% NPV. Conclusions: An NIF cutoff threshold ≤?25 cm H2O can be used as predictor of weaning success in Vietnamese surgical intensive care patients.
목차
등록된 정보가 없습니다.
참고문헌 (5)
참고문헌 신청
Ebrahimabadi S / 2017 / Studying the power of the integrative weaning index in predicting the success rate of the spontaneous breathing trial in patients under mechanical ventilation / Indian J Crit Care Med 21:488~493
Delisle S / 2011 / Preliminary evaluation of a new index to predict the outcome of a spontaneous breathing trial / Respir Care 56:1500~1505
Qing Q / 2018 / Using twitch tracheal airway pressure, negative inhale forced pressure, and Medical Research Council score to guide weaning from mechanical ventilation / J Thorac Dis 10:4424~4432
Ko R / 2009 / Conventional weaning parameters do not predict extubation failure in neurocritical care patients / Neurocrit Care 10:269~273
Conti G / 2004 / A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation / Intensive Care Med 30:830~836
Delisle S / 2011 / Preliminary evaluation of a new index to predict the outcome of a spontaneous breathing trial / Respir Care 56:1500~1505
Qing Q / 2018 / Using twitch tracheal airway pressure, negative inhale forced pressure, and Medical Research Council score to guide weaning from mechanical ventilation / J Thorac Dis 10:4424~4432
Ko R / 2009 / Conventional weaning parameters do not predict extubation failure in neurocritical care patients / Neurocrit Care 10:269~273
Conti G / 2004 / A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation / Intensive Care Med 30:830~836
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Clinical outcomes of difficult-to-wean patients with ventilator dependency at intensive care unit discharge
Acute and Critical Care
2020 .01
-
Weaning and Liberation from Mechanical Ventilation
대한외과학회 학술대회 초록집
2020 .11
-
Clinical Application of Modified Burns Wean Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation
Acute and Critical Care
2018 .01
-
Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease – Do We Appreciate the Bigger Picture?
Annals of Rehabilitation Medicine
2017 .01
-
Clinical Factors Associated With Successful Gastrostomy Tube Weaning in Patients With Prolonged Dysphagia After Stroke
Annals of Rehabilitation Medicine
2021 .01
-
Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease: Case Series
Annals of Rehabilitation Medicine
2017 .06
-
In Reply: Successful Extubation After Weaning Failure by Non-invasive Ventilation in Patients With Neurmuscular Disease – Do We Appreciate the Bigger Picture?
Annals of Rehabilitation Medicine
2017 .01
-
Differential hepatotoxicity of carbon tetrachloride in weaning and adult mice
한국실험동물학회 학술발표대회 논문집
2021 .07
-
Motor and Sensory Function as a Predictor of Respiratory Function Associated With Ventilator Weaning After High Cervical Cord Injury
Annals of Rehabilitation Medicine
2018 .01
-
Comparison of Morphine and Remifentanil on the Duration of Weaning from Mechanical Ventilation
Acute and Critical Care
2016 .01
-
중환자실 간호사를 위한 응급상황 시뮬레이션 시나리오개발: 비계획적 기도 발관 환자를 중심으로
한국의료시뮬레이션학회지
2024 .06
-
Prevalence of O-serogroups, virulence genes, and F18 antigenic variants in Escherichia coli isolated from weaned piglets with diarrhea in Korea during 2008–2016
Journal of Veterinary Science
2019 .01
-
기관 삽관 발거 실패 또는 심한 천명을 호소하는 호흡 곤란 소아 환자에 대한 상기도 평가 프로토콜
대한이비인후-두경부외과학회지
2016 .01
-
Effective Postoperative Use of Dexmedetomidine in a Child with Severe Pulmonary Arterial Hypertension Secondary to Congenital Ventricular Septal Defect
Acute and Critical Care
2015 .01
-
Predictors and indicators
Korean Journal of Anesthesiology
2024 .04
-
Maternal Separation Induced Visceral Hypersensitivity from Childhood to Adulthood
Journal of Neurogastroenterology and Motility (JNM)
2017 .01
-
Effects of Changes in Inspiratory Time on Inspiratory Flowrate and Airway Pressure during Cardiopulmonary Resuscitation: A Manikin-Based Study
고신대학교 의과대학 학술지
2021 .12
-
구개수구개인두성형술의 성공 예측인자
대한이비인후-두경부외과학회지
2015 .01
-
저항성 흡기근 훈련이 만성기 뇌졸중 환자의 흡기 기능과 일상생활활동에 미치는 영향
신경치료
2022 .07
-
Predictors of Treatment Success for Multidrug Resistant Tuberculosis
Infection and Chemotherapy
2016 .12
이 논문의 저자 정보
최근 본 자료
댓글(0)
0