2017
DOI: 10.5935/0103-507x.20170005 View full text |Buy / Rent full text
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Abstract: ObjectiveThis study aimed to examine the clinical characteristics, weaning pattern, and outcome of patients requiring prolonged mechanical ventilation in acute intensive care unit settings in a resource-limited country.MethodsThis was a prospective single-center observational study in India, where all adult patients requiring prolonged ventilation were followed for weaning duration and pattern and for survival at both intensive care unit discharge and at 12 months. The definition of prolonged mechanical ventil… Show more

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“…In addition, previous studies have shown that PMV patients had a longer duration of MV, ICU stay, and hospital stay compared with those who did not. According to these studies, duration of MV among PMV patients was 29-51 days, ICU stay was 33-52 days, and hospital stay was 51-77 days [2,4,[12][13][14]20]. These studies were conducted in countries lacking the concept of weaning centers, and the results were consistent with those observed in our study.…”
Section: Relationship With Previous Studiessupporting
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“…In addition, previous studies have shown that PMV patients had a longer duration of MV, ICU stay, and hospital stay compared with those who did not. According to these studies, duration of MV among PMV patients was 29-51 days, ICU stay was 33-52 days, and hospital stay was 51-77 days [2,4,[12][13][14]20]. These studies were conducted in countries lacking the concept of weaning centers, and the results were consistent with those observed in our study.…”
Section: Relationship With Previous Studiessupporting
“…Conversely, in countries such as Japan lacking weaning centers, patients who require PMV may occupy ICU beds in acute care hospitals for an extended period, thereby affecting the fair allocation of critical care resources [2,4,[12][13][14]. Furthermore, these patients place substantial loads on intensivists throughout the long period of the weaning trial.…”
Section: Introductionmentioning
“…A comparison reveals that the success rate of this intervention is in the upper range (7,22). As in older studies, the most frequent causes of primary weaning failure included acutely exacerbated COPD or pneumonia (1,18,19,23).…”
Section: Figurementioning
“…Continued care of patients depending on weaning success NIV, non-invasive ventilation the course of primary weaning (16)(17)(18)(19)(20)(21). A comparison reveals that the success rate of this intervention is in the upper range (7,22).…”
Section: Figurementioning
“…A pressão positiva, ao final da expiração (PEEP), na ventilação mecânica invasiva (VMI), pode provocar alterações neuro-hormonais em pacientes críticos, decorrentes da ativação do sistema neurovegetativo simpático, reninaangiotensina e supressão da liberação do peptídeo natriurético atrial, induzindo a retenção de líquidos e a diminuição do fluxo sanguíneo renal, potenciais causas de lesão renal aguda (LRA) (1) . Sendo assim, a identificação de mecanismos e/ou de fatores modificáveis pode ser útil, para melhor direcionar a gestão, além do processo de sistematização da assistência e segurança do paciente crítico com LRA (1)(2) .…”
Section: Introductionunclassified