TAILIEUCHUNG - Báo cáo khoa học: "An ounce of prevention: Noninvasive ventilation to prevent postextubation respiratory failure"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: An ounce of prevention: Noninvasive ventilation to prevent postextubation respiratory failure. | Available online at http content 10 5 314 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique An ounce of prevention Noninvasive ventilation to prevent postextubation respiratory failure Basem Haddad1 and John R. Hotchkiss2 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Assistant Professor Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 1 September 2006 This article is online at http content 10 5 314 2006 BioMed Central Ltd Critical Care 2006 10 314 DOI 101186 cc5024 Expanded Abstract Citation Nava S Gregoretti C Fanfulla F Squadrone E Grassi M Carlucci A Beltrame F Navalesi P Noninvasive ventilation to prevent respiratory failure after extubation in high-risk patients. Crit Care Med 2005 33 2465-2470. 1 Objective Compared with standard medical therapy SMT noninvasive ventilation NIV does not reduce the need for reintubation in unselected patients who develop respiratory failure after extubation. The goal of this study was to assess whether early application of NIV immediately after extubation is effective in preventing postextubation respiratory failure in an at-risk population. Methods Design and setting Multicenter randomized controlled study in three intensive care units ICUs Patients Ninety-seven consecutive patients with similar baseline characteristics requiring 48 hours of mechanical ventilation and considered at risk of developing postextubation respiratory failure . patients who had hypercapnia congestive heart failure ineffective cough and excessive tracheobronchial secretions more than one failure of a weaning trial more than one comorbid condition and upper airway obstruction . Intervention After a successful weaning trial the patients were .

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