A PROSPECTIVE AND RANDOMIZED STUDY FOR EVALUATING THE EFFECTIVENESS AND SAFETY OF TWO STRATEGIES, PRESSURE SUPPORT VENTILATION (PSV) AND ' T'- PIECE VENTILATION FOR WEANING ADULT PATIENTS FROM MECHANICAL VENTILATOR
Journal Title: PARIPEX-Indian Journal of Research - Year 2019, Vol 8, Issue 2
Abstract
AIM OF STUDY: This study evaluates the effectiveness and safety of two strategies, Pressure support ventilation (PSV) and T piece ventilation for weaning adult patients who require elective post operative mechanical ventilation for at least 12 hours, measuring weaning success and other clinically important outcomes. MATERIALS & METHODS: In our study 60 subjects was chosen (Group A-Weaning from mechanical ventilation after PSV & Group B- Weaning from mechanical ventilation after T Piece ventilation) RESULTS: Mean heart rate was lower, Mean systolic blood pressure was lower, Mean diastolic blood pressure was lower, Mean SPO2 was better, Mean ETCO2 was lower, Mean PH was better, Mean PaO2 was higher, Mean PaCO2 was lower, Mean duration of Mechanical ventilation was lower, Reintubation was lower in PSV group, than T piece group which was statistically significant. CONCLUSION : I conclude that weaning the patients from mechanical ventilator who have undergone upper abdominal surgeries can be done by Pressure support ventilation or by T piece with O2-6L/min. Considering the better hemodynamic stability, gas analysis, less duration of mechanical ventilation, lesser incidence of reintubation, I conclude pressure support ventilation is superior in weaning the patient from mechanical ventilator than T-piece ventilation
Authors and Affiliations
Dr. A. Gopinath, Dr. C. Kalaiyarasi
Keywords
Related Articles
- EP ID EP464894
- DOI -
- Views 76
- Downloads 0
MARFAN’S SYNDROME WITH UNUSUAL PRESENTATION
Marfan syndrome (MFS) is an autosomal dominant disorder caused by mutations in the gene encoding the extracellular matrix (ECM) protein fibrillin1 and TGFBR1 or 2. It is primarily associated with skeletal, cardiovascular...
UNDERSTANDING THE PATTERN OF LIBRARY USAGE AMONG THE USERS OF BRANCH PUBLIC LIBRARY IN HUNSUR, MYSORE DISTRICT
Public library is a library that is accessible by the general public and is generally funded from public sources (such as taxes) and operated by civil servants. Public libraries today play an important role in the life o...
SYNTHESIS AND DIELECTRIC PROPERTIES OF LTYROSINE AMINO ACID DOPED TGS CRYSTALS
The effect of doping the pure TGS crystal with L-Tyrosine amino acid at 10 wt% weight percentage. The crystals are grown at room temperature by using Slow evaporation method. The prepared crystals are used to study the...
FORAMEN OVALE-MORPHOMETRIC & MORPHOLOGICAL ASSESSMENT IN HUMAN ADULT NEUROCRANIUM
AIM: To interpret bilateral morphological disparities &morphometric measurements of the Foramen ovalein human adult skulls. MATERIAL AND METHODS: Study was carried out in 200 skulls (unknown sex) of Indian origin.Differe...
EPIDEMIOLOGICAL STUDY OF PAEDIATRIC HEAD INJURY IN A PERIPHERAL TERTIARY TRAUMA CARE CENTRE
Aim/Objective: To conduct a survey on paediatric Head injury in a peripheral tertiary health centre and to analyze the various epidemiological factors like incidence, age, sex, mechanism/type of injury, associate injurie...