Search Tag: extubation

ICU Management

Time-definition-of-reintubation

2023 03 Oct

Mechanical ventilation is crucial for supporting critically ill patients, and a timely extubation strategy is essential for improved patient outcomes. Despite standard weaning procedures, a significant percentage of patients (3-20%) require reintubation. Post-extubation respiratory failure can cause respiratory fatigue, requiring additional mechanical...Read more

ICU Management

Strategies-to-optimise-extubation

2023 06 Feb

Extubation failure refers to the inability to sustain spontaneous breathing after the removal of an artificial airway. The need for reintubation with 24 to 72 hours or up to seven days can lead to high morbidity, mortality and disability. The incidence of extubation failure in ICUs remains high (10-15%) and has two main causes: weaning failure and...Read more

ICU Management

Lives2022-extubation-strategies-in-neuro-intensive-care-unit-patients

2022 27 Oct

Findings from the Extubation strategies and in Neuro-Intensive care unit patients and associations with Outcomes (ENIO) study were presented this week at ESICM LIVES 2022.  Invasive mechanical ventilation is a primary intervention in critically ill patients. Timely weaning reduces the risk of hospital-acquired pneumonia, chronic illness and cost...Read more

ICU Management

Mouth-care-challenges-and-the-use-of-the-covid-19-oral-grading-system

2021 22 Feb

This paper describes the experiences of the Speech and Language Therapy (SLT) service at Nightingale Hospital, adapting to changing demands, which included upper airway challenges associated with extubation and oral management in patients with COVID-19. Background The London Nightingale Hospital was set up in response to the COVID-19...Read more

ICU Management

Making-decisions-during-icu-night-shifts-challenges-and-considerations

2020 11 Aug

We review the decision-making processes during night shifts focusing on the perspective of residents and fellows. We explore nighttime decisions about extubations, ICU discharge, withholding/withdrawing and night shift cross-coverage. T aking a night shift in the ICU can be challenging, particularly from a resident/fellow perspective....Read more

ICU Management

Liberation-from-mechanical-ventilation

2019 20 Jun

Over 1 million people patients throughout the world receive mechanical ventilation for acute respiratory failure. The management of these critically ill patients and liberating them from invasive ventilation is one of the most important decisions clinicians have to make. Liberation from ventilation is also a major dilemma for clinicians because...Read more

ICU Management

Uk-study-extubating-ventilated-patients-on-vasoactive-infusions-safe

2018 11 Jul

In a large single centre study, 21 percent of intubated patients who received infusions of vasoactive infusions while mechanically ventilated were extubated for the first time while still receiving them. Coincident with their earlier extubation, these patients' ICU length of stay was shorter without an increase in ICU mortality, hospital mortality...Read more

ICU Management

Are-nighttime-extubations-more-risky

2016 18 May

A study presented at the American Thoracic Society (ATS) 2016 International Conference in San Francisco today has found that overnight extubation in intensive care units (ICUs) is associated with higher likelihood of being reintubated as well as higher mortality. Lead author Hayley Gershengorn , MD, assistant professor at Albert Einstein College...Read more

ICU Management

Study-sedation-protocol-does-not-reduce-time-of-respiratory-support

2015 21 Jan

The use of a nurse-implemented, goal­-directed sedation protocol compared with usual care did not reduce the duration of mechanical ventilation in children with acute respiratory failure, according to a University of Pennsylvania-led study published in JAMA . Sedation therapy benefits critically ill infants and children; however, it is also associated...Read more

ICU Management

Post-operative-intubation-and-acute-kidney-injury

2014 09 Oct

Acute kidney injury (AKI) is a common complication after cardiac surgery and is generally associated with a poor prognosis. It is also an independent mortality factor in cardiac surgical patients. Cardiac surgery is typically performed under general anaesthesia with patients mechanically ventilated in the postoperative period until they have achieved...Read more