Time of weaning from mechanical ventilation in patients after cardiac surgery.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: coronary bypass surgery or heart valve repair or replacement surgery is considered; age over 18 years old; the patient has no history of chronic lung disease; the patient has an EF = 30% and duration of mechanical ventilation for more than 8 hours. Exclusion criteria: during the separation process from ventilator patients requiring cardiac resuscitation is pulmonary; drain bleeding area greater than 100 ml / h during 3 hours; the need for further surgery; PEEP> 10 cmH2O; FiO2> 60%; PF ratio <200; hemodynamic instability (MAP <65); electrolyte abnormalities affecting wearing of mechanical ventilation (Hypo speech, hypothyroidism, magnesium, hypophosphatemia); dangerous dysrhythmias leading to hemodynamic impairment; inotropes or vasopressor drug dependence and there agitation or severe sedation RASS more than 0 and less than -1
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Weaning time. Timepoint: Immediately after intervention. Method of measurement: Clock(timer). | — |
Secondary
| Measure | Time frame |
|---|---|
| Reintubation. Timepoint: After intervention. Method of measurement: Clock(timer). | — |
Countries
Iran (Islamic Republic of)
Contacts
Mashhad University of Medicsl Sciences