Weaning and outcome from mechanical ventilation

S. Nava, E. Zanotti, F. Rubini

Research output: Contribution to journalArticle

Abstract

Weaning means the ability of a patient to breath spontaneously after mechanical ventilation. In chronic obstructive pulmonary disease (COPD) patients, inability to tolerate discontinuation of mechanical ventilation is reported to have an incidence of 25-60%. It is, therefore, important to employ simple parameters able to predict weaning success, since, in the case of failure, the validation of predictive indices of weaning may also contribute to the decision of whether or not these patients should eventually enter a programme of home ventilation. Among other indices employed, respiratory frequency/tidal volume (f/V(T)) ratio, compliance, rate, oxygenation and pressure (CROP) index, mouth occlusion pressure (P0.1) and static compliance of the respiratory system have been shown to be quite accurate. The survival at one year of these patients requiring mechanical ventilation ranges 34-49%. Indeed, there is a particular subset of COPD patients in whom mechanical ventilation is prolonged due to the severity of their pathology. We studied 42 of these patients requiring mechanical ventilation for more than 21 days, to assess with simple parameters (arterial blood gases, pulmonary function tests, respiratory muscle force, P0.1 nutritional status) their potential for meaning and their survival at 2 yrs. Using discriminant analysis, and employing an equation comprising maximal inspiratory pressure (MIP) and arterial carbon dioxide tension (Paco2), we were able to predict the patients able or unable to be weaned with an accuracy of almost 85%. The overall survival of these patients at 2 yrs was 40%, but in the unweaned group it was very poor (22%). None of the parameters recorded could significantly predict the survival rate.

Original languageEnglish
Pages (from-to)530-532
Number of pages3
JournalMonaldi Archives for Chest Disease - Cardiac Series
Volume49
Issue number6
Publication statusPublished - 1994

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Keywords

  • COPD patients
  • Mechanical ventilation
  • Weaning

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

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