BMC Emergency Medicine | |
Explore the influence of BMI in the optimal time of weaning from sequential mechanical ventilation for severity chronic obstructive pulmonary disease | |
Proceedings | |
关键词: Chronic Obstructive Pulmonary Disease; Mechanical Ventilation; Chronic Obstructive Pulmonary Disease Patient; Ventilator Associate Pneumonia; Pressure Support Ventilation; | |
DOI : 10.1186/1471-227X-13-S1-S1 | |
来源: Springer | |
【 摘 要 】
ObjectiveTo study the clinical effect of body mass index (BMI) in the optimal time of weaning from sequential invasive-noninvasive mechanical ventilation (MV) by treating severity chronic obstructive pulmonary disease (COPD) patients.Methods94 patients with severity COPD were divided into the control group (BMI<21) and the study group (BMI>21). These two groups were treated by similar symptomatic therapies such as mechanical ventilation, antibacterial, antispasmodic, relieving asthma, antitussive, expectorant, correction of electrolyte imbalance and acid-base balance disorders, strengthen nutritional support, etc.ResultsCompared with the control group, the study group had shorter duration of invasive mechanical ventilation, non-invasive mechanical ventilation time, total mechanical ventilation time, total hospital stay (P<0.01). There are significant differences between these two groups in re-intubation rate, VAP occurred in the number of case, hospital mortality rate in 28 days (P<0.05).ConclusionsIt is difficult to wean successfully from sequential mechanical ventilation for severity COPD patients (BMI<21), so BMI as one of important reference index can be used to estimate the optimal time for weaning from sequential mechanical ventilation for severity COPD patients.
【 授权许可】
CC BY
© Li-dong et al; licensee BioMed Central Ltd. 2013
【 预 览 】
Files | Size | Format | View |
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RO202311090078175ZK.pdf | 238KB | download |
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