Factors associated with weaning failure from mechanical ventilation in critically ill patients

  • Hà Viết Ngọc Bệnh viện Đa khoa Tâm Anh
  • Mai Văn Cường Bệnh viện đa khoa Tâm Anh
  • Phùng Quang Tùng Bệnh viện đa khoa Tâm Anh
  • Lê Văn Nhâm Bệnh viện đa khoa Tâm Anh

Main Article Content

Keywords

Weaning from mechanical ventilation, rapid shallow breathing index, Glasgow coma score

Abstract

Objective: To investigate some clinical, paraclinical characteristics and ventilator parameters of patients weaning from mechanical ventilation (MV) and determine factors associated with weaning failure. Subject and method: 26 patients on MV, at the intensive care unit of Tam Anh Hospital, from January 2021 to June 2023, and 31 weaning sessions were performed. Some clinical, paraclinical characteristics and ventilator parameters before weaning were compared between the weaning success group and the weaning failure group. Factors associated with weaning failure were determined by univariate regression. Result: The median value of age was 78.5 (72.5; 84.5) years. Men were present in 53.8%. Weaning failure was present in 32.3%. Factors associated with weaning failure from MV: Glasgow coma score (GCS) of less than 10 (OR = 6.375), APACHE (acute physiology and chronic health evaluation) II score (OR = 1.318), respiratory rate (OR = 1.756) and rapid shallow breathing index (RSBI) (OR = 1.085). Conclusion: Pre-weaning GCS, RSBI, APACHE II score and respiratory rate are factors associated with weaning failure from mechanical ventilation.

Article Details

References

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Published
Feb 5, 2024
DOI: https://doi.org/10.52389/ydls.v19i1.2106
Issue
Volume 19 - No 1/2024
Section
Articles
How to Cite
NgọcH. V., CườngM. V., TùngP. Q., & NhâmL. V. (2024). Factors associated with weaning failure from mechanical ventilation in critically ill patients. Tạp Chí Y Dược lâm sàng 108, 19(1). https://doi.org/10.52389/ydls.v19i1.2106