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Date Published: 23/12/2024
Abstract Views: 30
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DOI: https://doi.org/10.51298/vmj.v545i3.12341
Issue
Vol. 545 No. 3 (2024)
Section
Các bài báo
How to Cite
Nguyễn, Đức M., Đỗ, N. S., & Đặng, Q. T. (2024). INTELLIVENT ADAPTIVE SUPPORT VENTILATION FOR WEANING ON PATIENTS WITH THE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Vietnam Medical Journal, 545(3). https://doi.org/10.51298/vmj.v545i3.12341

INTELLIVENT ADAPTIVE SUPPORT VENTILATION FOR WEANING ON PATIENTS WITH THE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Đức Mạnh Nguyễn, Ngọc Sơn Đỗ, Quốc Tuấn Đặng

Main Article Content

Abstract

Objetive: To evaluate of weaning results of intellivent adaptive support ventilation mode (iASV) for patients with the exacerbation of chronic obstructive pulmonary disease (COPD). Subjects and Methods: A prospective, on 20 invasive ventilated patients due to COPD exacerbation admitted to the Center for Critical care medicine of Bach Mai Hospital from September 2023 to September 2024. The main variables such as age, blood gas indices: pH, PaCO2, PaO2, HCO3-, PaO2/FiO2, lactate, vital signs parameters: heart rate, blood pressure, respiratory rate, SpO2 were collected at the timelines: admission, 30 minutes, 60 minutes, 120 minutes after iASV, before extubation and after extubation. Patients were considered as succesful weaning if they were not be re-intubated after 48 hours. Results: Among 20 patients (mean age 71 ± 9.1 years; 100% men), there were 16 (80%) patients with succeesful extubated. In the successful extubation group, weaning time (28.1 ± 40.3 hours) shorter than those of failure group (149.3 ± 24.3 hours) with p<0.001, respectively. ICU length of stay in the successful extubation group (14.1 ± 4.9 days) was not statistically different from the ICU length of stay in the failure group (14.5 ± 7.0 days). Conclusion: The iASV has a higher rate of successful extubation and shorter ventilation weaning time in patients with exacerbation of chronic obstructive pulmonary disease (COPD).

Article Details

Keywords

iASV, Intellivent Adaptive Support Ventilation, Exacerbation of COPD, Weaning ventilation.

References

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