TAILIEUCHUNG - Báo cáo y học: "Automatic versus manual pressure support reduction in the weaning of post-operative patients: a randomised controlled trial"

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: Automatic versus manual pressure support reduction in the weaning of post-operative patients: a randomised controlled trial. | Available online http content 13 1 R6 Research Automatic versus manual pressure support reduction in the weaning of post-operative patients a randomised controlled trial Corinne Taniguchi1 Raquel C Eid1 Cilene Saghabi1 Rogério Souza2 Eliezer Silva1 Elias Knobel1 Angela T Paes1 and Carmen S Barbas1 2 1Adult - ICU - Albert Einstein Hospital Av. Albert Einstein 627-5 andar - São Paulo SP 05651-901 Brazil 2Pulmonary Division University of São Paulo Av Dr Eneas de Carvalho Aguiar 255-room 7079 São Paulo SP 05403-900 Brazil Corresponding author Carmen S Barbas cbarbas@ Received 26 Jun 2008 Revisions requested 15 Sep 2008 Revisions received 20 Oct 2008 Accepted 26 Jan 2009 Published 26 Jan 2009 Critical Care 2009 13 R6 doi cc7695 This article is online at http content 13 1 R6 2009 Taniguchi et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Reduction of automatic pressure support based on a target respiratory frequency or mandatory rate ventilation MRV is available in the Taema-Horus ventilator for the weaning process in the intensive care unit ICU setting. We hypothesised that MRV is as effective as manual weaning in post-operative ICU patients. Methods There were 106 patients selected in the postoperative period in a prospective randomised controlled protocol. When the patients arrived at the ICU after surgery they were randomly assigned to either traditional weaning consisting of the manual reduction of pressure support every 30 minutes keeping the respiratory rate tidal volume RR TV below 80 L until 5 to 7 cmH2O of pressure support ventilation PSV or automatic weaning referring to MRV set with a respiratory frequency target of 15 breaths per .

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