COMPARISON OF THE WEANING INDEXES OF DISCONTINUATION FROM MECHANICAL VENTILATION IN ICUS: A PROSPECTIVE SINGLE BLIND STUDY

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TADRISSI SEYED DAVOOD; SEDIGHI NEJAD HOMEIRA; MADANI SEYYED JALAL; EBADI ABBAS; SAGHAFINIYA MASOUD; FARMAND FARVARDIN

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2012 | Volume:34 | Issue:80 Page(s): 12-19

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Title

COMPARISON OF THE WEANING INDEXES OF DISCONTINUATION FROM MECHANICAL VENTILATION IN ICUS: A PROSPECTIVE SINGLE BLIND STUDY

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WEANINGQ2

WEANING INDEXQ2

ICUQ2

MECHANICAL VENTILATIONQ2

Abstract

Introduction: WEANING index is a useful tool to prevent losses of WEANING failure, rapid and reliable identification of patients who are potentially ready for spontaneous breathing and accelerating WEANING of MECHANICAL VENTILATION. The objective of this study is to determine the validity of new WEANING index as a predictor of discontinuation from MECHANICAL VENTILATION in patients hospitalized in the intensive care units.Materials and methods: This scale was evaluated for the first time on 124 adult patients who were on MECHANICAL VENTILATION for more than 24 hours in two 24-hour phases, in 6 ICUs (Surgery, Trauma, Medical, Toxicology toxicity) of selected hospitals in Tehran, totaling 60 beds, by the researcher as a single blind test. Inclusion criteria were: Patients 18 to 80 years old, no neurological and neuromuscular disease, none or a minimal dose of sedative drugs with the same guidelines based on hemodynamic conditions and need of patients in putting them in the light phase of sedation (15-18 points based on Palma and Cook criteria), no addiction,no smoking of more than one pack year not admitted in ICU-OH, no clinical signs of sinusitis (thick nasal secretions, discolored nasal discharge, fever with no underlying cause). All patients received the same regimen, which had been prepared in the hospital. The study was conducted from 1201-2012. The ventilators used were Rafael. In the first phase, 80 cases were successful, 40 unsuccessful and 4 cases died, and in second phase of the study, there were 72 successful and 8 unsuccessful WEANINGs. By using a sensitivity of 94.59%, specificity 66.67%, positive and negative predictive values of 97.22%, 50 % respectively, positive and negative likelihood ratios of 2.84, 0.08 respectively, accuracy or correctness of 92.5 % and prevalence of 92.5%, the new WEANING index (IWI) was more successful than the other indexes in predicting WEANING of patients from MECHANICAL VENTILATION.Conclusion: The new WEANING index (IWI) has a good predictive validity for WEANING of patients from MECHANICAL VENTILATION in the intensive care units.

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APA: Copy

TADRISSI, SEYED DAVOOD, SEDIGHI NEJAD, HOMEIRA, MADANI, SEYYED JALAL, EBADI, ABBAS, SAGHAFINIYA, MASOUD, & FARMAND, FARVARDIN. (2012). COMPARISON OF THE WEANING INDEXES OF DISCONTINUATION FROM MECHANICAL VENTILATION IN ICUS: A PROSPECTIVE SINGLE BLIND STUDY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 34(80), 12-19. SID. https://sid.ir/paper/63131/en

Vancouver: Copy

TADRISSI SEYED DAVOOD, SEDIGHI NEJAD HOMEIRA, MADANI SEYYED JALAL, EBADI ABBAS, SAGHAFINIYA MASOUD, FARMAND FARVARDIN. COMPARISON OF THE WEANING INDEXES OF DISCONTINUATION FROM MECHANICAL VENTILATION IN ICUS: A PROSPECTIVE SINGLE BLIND STUDY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2012;34(80):12-19. Available from: https://sid.ir/paper/63131/en

IEEE: Copy

SEYED DAVOOD TADRISSI, HOMEIRA SEDIGHI NEJAD, SEYYED JALAL MADANI, ABBAS EBADI, MASOUD SAGHAFINIYA, and FARVARDIN FARMAND, “COMPARISON OF THE WEANING INDEXES OF DISCONTINUATION FROM MECHANICAL VENTILATION IN ICUS: A PROSPECTIVE SINGLE BLIND STUDY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 34, no. 80, pp. 12–19, 2012, [Online]. Available: https://sid.ir/paper/63131/en

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