Integrative Weaning Index: Can it be Used Routinely as a Predictor of Weaning Success?
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 1
Abstract
Objective: Application of Integrative Weaning Index in predicting weaning success. Materials and Methods: A prospective study on the mechanically ventilated 26 patients; after minimum 24 hours of ventilation criterias of readiness for weaning were recorded; those who met criteria were given 2 hour spontaneous breathing trial and Integrative Weaning Index (IWI) was calculated; those who tolerated the trial were immediately extubated; outcome was measured by the ability to maintain spontaneous, unassisted breathing for more than 48 hours aftet extubation. Results:IWI has high sensitivity (93%) and good negative predictive value of 75% Conclusion: Extubation using criteria of readiness for weaning and IWI >25 has good success rate of extubation with lower reintubation rate.
Authors and Affiliations
Chandrashekar S
Keywords
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- EP ID EP452066
- DOI 10.21088/ijem.2395.311X.3117.3
- Views 122
- Downloads 0
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