Health Condition 1: J962- Acute and chronic respiratory failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who were mechanically ventilated in ICU and meet the following criteria will be put on SBT for weaning will be included. Following will be the criteria to consider for weaning in the ICU which is used by any intensivist at our institute: 1. Fraction of inspired oxygen (FiO2 2. Positive end expiratory pressure (PEEP) 3. Partial pressure of oxygen in arterial blood (PaO2)/FiO2 > 150 mmHg 4. Respiratory rate 5. Tidal volume >5mL /kg, 6. Minute ventilation 7. No abnormality in electrolyte parameters, absence of hemodynamic instability, resolution of the initial cause of ventilator requirement and patients awake with the ability to cough.
Exclusion criteria
Exclusion criteria: 1. Patients with chest wall abnormalities, 2. Distorted chest wall anatomy, 3. Patients with any known neuromuscular weakness, 4. Patients with any known diaphragmatic disorders 5. Pregnant patients, 6. Patients with known cardiac dysfunction on initial ECHO during hospital admission 7. Any patient in whom the SBT is aborted even before 30 minutes duration as deemed by the intensivist will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful weaning from ventilatorTimepoint: 48 hours after removal of ventilator | — |
Secondary
| Measure | Time frame |
|---|---|
| Survival of ICU stayTimepoint: 28 days from day of admission to ICU | — |
Countries
India
Contacts
Kasturba Medical College, Manipal, Manipal Academy of Higher Education