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 79
- Downloads 0
Analysis of Effectiveness of Products Information Provided With Child Care Products
Toys and other children’s products are an integral part of children’s developmental processes. It may also inflict accidental injuries to children. Effective warning should result in safe behaviour, leading to reduction...
To compare the role of i.v clonidine, MgSO4 and esmolol in attenuating hemodynamic responses following laryngoscopy and intubation and on blood loss in patients undergoing endoscopic sinus surgeriessurgeries
Aim: The aim of our study was to compare the role of i.v clonidine, MgSO4 and esmolol in attenuating hemodynamic responses following laryngoscopy and intubation, in maintaining peri-operative HR and MAP, and on blood los...
BACTERIOLOGICAL PROFILE ANTIBIOTIC RESISTANCE PATTERN OF BACTERIA ISOLATED FROM URINARY TRACT INFECTIONS IN CENTRAL INDIA
Background: This study aimed to investigate the bacteria associated with urinary tract infection (UTI) and antibiotic susceptibility pattern of the isolates during LAST one year in a tertiary care hospital of central ind...
ANXIETY IN CO MORBID MEDICAL CONDITION
Sims and ObjectiveThe current study assessed associations between severity of anxiety and depression and presence of medical conditions in adults diagnosed with anxiety disorders. MethodOne-hundred twenty four patients...
Determinants of General Adjustment in Cross-Cultural Environment: A Study of Indian It Expatriates in The United States of America
The Present study explores the influence that individual competencies like emotional intelligence, cultural intelligence and supporting systems like perceived organizational supporting practices and family support on Gen...