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- Title
ANALISIS DE LOS TIEMPOS REALES DE DESCONEXION DE LA VENTILACION MECANICA DESDE LA TOMA DE LA DECISIÓN HASTA LA EXTUBACIÓN.
- Authors
Laverde, Johanna Carolina Hurtado; Lopera, Aura Maria
- Abstract
Mechanical ventilation is one of the most used procedures for vital support, in which the restoration process is due to consider as much as the weaning process. In agreement with the characteristics of the patient, this process can be very variable. Objective: Determine which are the real times used for the disconnection of the mechanical ventilation since the decision has taken up to the extubación. Materials and methods: A prospective descriptive study was made during 1 month, times of weaning of mechanical ventilation were evaluate to 12 individuals hospitalized in a unit of intensive care of a public institution of fourth level of attention; they fulfilled the eligibility criteria. The questionnaires for compilation of the information were applied by respiratory therapists in last semester of formation, who were developing clinical practices; it wasn't necessary to deal with informed assent since the study only measure the times used in the procedures established inside the clinical standard treatment. Results: The population oscillated in a rank of age between 46 to 72 years (average 67 years DE ± 7,14). It was found the period between the weaning order and extubation at the time of accomplishment the test of spontaneous breathing (PRE) oscillated between a period of 30 minutes to two hours (average 0,16 hours DE ± 0,38 hours). The period between the accomplishment of the PRE and extubation oscillated between less than one hour (35 minutes) and two hours (average 1,91 hours DE.± 1,37 hours). Finally, the total time used between the decision of patient's extubation and extubation conducting, ranged in a lower and upper 0-2 hours 7-8 hours (average 4,91 hours DE±5.1 hours). Conclusions: Real times used for disconnection of mechanical ventilation are variable depend on population and protocols used. The advanced studies with respect to weaning of mechanical ventilation have been centered in effective for the successful weaning and predicting processes of successful extubation. Nevertheless, none of them has analyzed the time that is taken to make the weaning and the causes of the prolongation of such. Although it is possible to be concluded that the awaited clinical conditions in patient to try the extubation are clearly established, is not the case of time ranks in which this happens. The time required for the extubation is not a variable exact or determined, because this it's influenced not only by the conditions related to the patient; but also combined them is the related ones to the medical and paramedic personnel, the routines of the unit and the procedures developed in the same one.
- Subjects
ARTIFICIAL respiration; MECHANICAL ventilators; EXTUBATION; CRITICAL care medicine; VITAL capacity (Respiration); LIFE support systems in critical care; RESPIRATORY therapists; HOSPITAL respiratory therapy services; PRESSURE breathing; RESPIRATORY intensive care
- Publication
Revista Umbral Científico, 2008, Issue 13, p8
- ISSN
1692-3375
- Publication type
Article