Predictors of Extubation Failure Among Type II Respiratory Failure Patients
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 5
Abstract
Aim: The aim of the study is to assess the predictors of extubation failure with type II respiratory failure for ICU patients. Method: Cross-sectional retrospective study was conducted in the critical care area of King Abdulaziz Medical City (KAMC) ICU for all patients from 18-80 years old with type II respiratory failure who undergo extubation failure and followed three days post the extubation during 2016-2017. Result: 50 patients were enrolled in this study, 18 of them were male (36%) and the rest 32 were female (64%). 37 of them were successfully extubated (74%) and 13 were failed extubation (26%).RSBI was higher among the successful extubated patients than those who had failed extubation. GCS was variable between 9-10 which is considered moderate in the failed extubated patient. The mean age of patient who failed extubation is 55 years old, while those who successfully extubated is 63 years old. Patients who failed were mostly with normal BMI. Conclusion: Among patients with type II respiratory failure it can be listed that RSBI, GCS, age and BMI considered as the main causes of extubation failure. Low RSBI with mean of 55.15 is highlighted as one of the predictors of reintubation. Patients with moderate GCS maybe reintubated. Age of the patient might be highlighted as one of the predictors if it also accompanied with other disease regarding to type II respiratory failure which could not be the primary disease. Normal BMI cannot prevent extubation failure, so patients might be reintubated with mostly normal BMI
Authors and Affiliations
Prachi Tambur
Keywords
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