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http://hdl.handle.net/11690/3675
Autor(es): | Boniatti, Viviane Martins Corrêa Pereira, Chaiane Ribeiro Costa, Gabriela Machado Teixeira, Michelle Carneiro Werlang, Alessandra Preisig Martins, Francielle Thaisa Morais Marques, Leonardo da Silva Nedel, Wagner Luís Boniatti, Márcio Manozzo |
Título: | Extubation failure and the use of noninvasive ventilation during the weaning process in critically ill COVID-19 patients |
Palavras-chave: | COVID-19;Coronavirus infections;SARS-CoV-2;Respiration;Ventilator weaning;Noninvasive ventilation;Airway extubation |
Data do documento: | 2023 |
Citação: | BONIATTI, V. M. C. et al. Extubation failure and the use of noninvasive ventilation during the weaning process in critically ill COVID-19 patients. Crit Care Sci., v. 35, n. 2, p.163-167, 2023. Disponível em: https://www.scielo.br/j/ccsci/a/9dGqQyB4pF8kr58pKwTNXnx/?format=pdf&lang=en. Acesso em: 16 nov. 2023. |
Resumo: | extubation in COVID-19 patients and the use of noninvasive ventilation in the weaning process. Methods: This retrospective, observational, single-center study was conducted in COVID-19 patients aged 18 years or older who were admitted to an intensive care unit between April 2020 and December 2021, placed under mechanical ventilation for more than 48 hours and progressed to weaning. Early extubation was defined as extubation without a spontaneous breathing trial and immediate use of noninvasive ventilation after extubation. In patients who underwent a spontaneous breathing trial, noninvasive ventilation could be used as prophylactic ventilatory assistance when started immediately after extubation (prophylactic noninvasive ventilation) or as rescue therapy in cases of postextubation respiratory failure (therapeutic noninvasive ventilation). The primary outcome was extubation failure during the intensive care unit stay. Results: Three hundred eightyfour extubated patients were included. Extubation failure was observed in 107 (27.9%) patients. Forty-seven (12.2%) patients received prophylactic noninvasive ventilation. In 26 (6.8%) patients, early extubation was performed with immediate use of noninvasive ventilation. Noninvasive ventilation for the management of postextubation respiratory failure was administered to 64 (16.7%) patients. Conclusion: We found that COVID-19 patients had a high rate of extubation failure. Despite the high risk of extubation failure, we observed low use of prophylactic noninvasive ventilation in these patients. |
Aparece nas coleções: | Artigo de Periódico (PPGSDH) |
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