Comparison between burns weaning assessment program and integrative weaning index as predictors of weaning outcomes

Abstract

Background: Prolonged mechanical ventilation is associated with negative clinical outcomes that increased risk of mortality and morbidity including weaning failure. Using of indices that combining objective and subjective endpoints predicting weaning outcomes can diminish the risk of weaning failure and complications associated with morbidity, such as re intubation. Aim: To compare the Burns Weaning Assessment Program (BWAP) and the Integrative Weaning Index (IWI) as predictors of weaning outcomes. Design: A comparative study design was utilized.

Factors affecting on the duration of Ventilation among Mechanically Ventilated Patients Zeinab Hussein Ali *, Taisser Zaiton, ** Ekram Mahmoud Shalash*** Professor of Adult Health Nursing, Faculty of Nursing Helwan University*, Professor of Critical Medicine, Faculty of Medicine, Alexandria University**, Assistant Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing Tanta University***

“…Figure (1) shows that the mean body weight of patients in the study group was 68.7±13.8, while in the control group was 70.5±12.9, with no significant difference between the both groups at a p-value > 0.05. Table (2) shows that length of stay of mechanical ventilated patient's (4-8 days) was (58.3%) more than half of the patients. Furthermore, concerning the APACHE II score on admission, the score among mechanical ventilated patients (40%) was 13-18.…”

“…Critically ill patients, especially those who are receiving mechanical ventilation usually have dyspnea, pain, fear, anxiety, and other forms of distress such as disruption, noise, and sleep deprivation that coupled with stress and fear of the critical illness are also culprits. [2].…”