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2015 ; 6
(3
): 196-200
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Sequential invasive-noninvasive mechanical ventilation weaning strategy for
patients after tracheostomy
#MMPMID26401180
Pu XX
; Wang J
; Yan XB
; Jiang XQ
World J Emerg Med
2015[]; 6
(3
): 196-200
PMID26401180
show ga
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.