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
Related Articles
- EP ID EP506468
- DOI -
- Views 104
- Downloads 0
Type of Wound Drainage and Post Operative Morbidity after Modified Radical Mastectomy
Suction drains are routinely used after modified radical mastectomy and is an important factor contributing to increased hospital stay as the patients are often discharged only after their removal. Amongst various factor...
Bilateral Giant Hydronephrosis: A Rare Finding in Pregnancy
Unilateral right sided hydronephrosis is a common presentation in pregnancy but bilateral gross hydronephrosis is a rare finding. We report a case of 25 year old second gravida who presented with bilateral huge hydroneph...
Histopathological Findings in Gastrointestinal Perforations - A study of 100 cases
Introduction There are large numbers of cases where gastrointestinal perforations occur in stomach, small gut and large gut but without histopathological examination of biopsy material, it is not possible to reach to any...
Methicillin-Resistant Staphylococcus Aureus Clinico Microbiological correlation in a Tertiary care center in Kerala, India
Methicillin resistant Staphylococcus aureus (MRSA) has emerged as one of the most important nosocomial pathogen to cause severe morbidity and mortality world over. However improper sample collection or increased coloniza...
Effect of vaginal pH on efficacy of dinoprostone gel for labour induction
Background: Induction of labour is defined as an intervention designed to artificially initiate uterine contractions leading to progressive dilatation and effacement of the cervix. Prostaglandin (PGE2) is a well-establis...