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Noninvasive positive pressure ventilation in unplanned extubation

Journal Article:

Abstract

Unplanned extubation is quite common in intensive care unit (ICU) patients receiving mechanical ventilatory support. The present study aimed to investigate the effectiveness of noninvasive positive pressure ventilation (NPPV) in patients with unplanned extubation. A total of 15 patients (12 male, age: 57 + - 24 years, APACHE II score: 19 + - 7) monitored at the medical ICU during the year 2004 who developed unplanned extubation were included in the study. NPPV was tried in all of them following unplanned extubation. Indications for admission to the ICU were as follows: nine patients with pneumonia, three with status epilepticus, one with gastrointestinal bleeding, one with cardiogenic pulmonary edema and one with diffuse alveolar bleeding. Eleven of the patients (74%) were at the weaning period at the time of unplanned extubation. Among these 11 patients, NPPV was successful in 10 (91%) and only one (9%) was reintubated due to the failure of NPPV. The remaining four patients (26%) had pneumonia and none of them were at the weaning period at the time of extubation, but their requirement for mechanical ventilation was gradually decreasing. Unfortunately, an NPPV attempt for 6-8 h failed and these patients were reintubated. Patients with unplanned extubation before  More>>
Authors:
Eryuksel, Emel; Sait, Karakurt; Celikel, Turgay [1] 
  1. Dept. of Pulmonary and Critical Care, Marmara Univ. Hospital, (Turkey)
Publication Date:
Jul 01, 2009
Product Type:
Journal Article
Resource Relation:
Journal Name: Annals of Thoracic Medicine (Print); Journal Volume: 4; Journal Issue: 1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; EDEMA; PATIENTS; PNEUMONIA; RESPIRATORY SYSTEM; TITRATION
OSTI ID:
21312930
Country of Origin:
Saudi Arabia
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 1817-1737; TRN: SA0900342056206
Submitting Site:
INIS
Size:
page(s) 17-20
Announcement Date:
Jul 13, 2010

Journal Article:

Citation Formats

Eryuksel, Emel, Sait, Karakurt, and Celikel, Turgay. Noninvasive positive pressure ventilation in unplanned extubation. Saudi Arabia: N. p., 2009. Web. doi:10.4103/1817-1737.44780.
Eryuksel, Emel, Sait, Karakurt, & Celikel, Turgay. Noninvasive positive pressure ventilation in unplanned extubation. Saudi Arabia. doi:10.4103/1817-1737.44780.
Eryuksel, Emel, Sait, Karakurt, and Celikel, Turgay. 2009. "Noninvasive positive pressure ventilation in unplanned extubation." Saudi Arabia. doi:10.4103/1817-1737.44780. https://www.osti.gov/servlets/purl/10.4103/1817-1737.44780.
@misc{etde_21312930,
title = {Noninvasive positive pressure ventilation in unplanned extubation}
author = {Eryuksel, Emel, Sait, Karakurt, and Celikel, Turgay}
abstractNote = {Unplanned extubation is quite common in intensive care unit (ICU) patients receiving mechanical ventilatory support. The present study aimed to investigate the effectiveness of noninvasive positive pressure ventilation (NPPV) in patients with unplanned extubation. A total of 15 patients (12 male, age: 57 + - 24 years, APACHE II score: 19 + - 7) monitored at the medical ICU during the year 2004 who developed unplanned extubation were included in the study. NPPV was tried in all of them following unplanned extubation. Indications for admission to the ICU were as follows: nine patients with pneumonia, three with status epilepticus, one with gastrointestinal bleeding, one with cardiogenic pulmonary edema and one with diffuse alveolar bleeding. Eleven of the patients (74%) were at the weaning period at the time of unplanned extubation. Among these 11 patients, NPPV was successful in 10 (91%) and only one (9%) was reintubated due to the failure of NPPV. The remaining four patients (26%) had pneumonia and none of them were at the weaning period at the time of extubation, but their requirement for mechanical ventilation was gradually decreasing. Unfortunately, an NPPV attempt for 6-8 h failed and these patients were reintubated. Patients with unplanned extubation before the weaning criteria are met should be intubated immediately. On the other hand, when extubation develops during the weaning period, NPPV may be an alternative. The present study was conducted with a small number of patients, and larger studies on the effectiveness of NPPV in unplanned extubation are warranted for firm conclusions. (author)}
doi = {10.4103/1817-1737.44780}
journal = {Annals of Thoracic Medicine (Print)}
issue = {1}
volume = {4}
place = {Saudi Arabia}
year = {2009}
month = {Jul}
}