TÌM HIỂU MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ THÔI THỞ MÁY Ở NGƯỜI BỆNH SUY TIM TẠI VIỆN TIM MẠCH VIỆT NAM

Abstract

Objectives: Review some clinical and paraclinical characteristics and learn some factors related to the outcome of weaning from mechanical ventilation in heart failure patients requiring invasive mechanical ventilation at the Cardiovascular Institute - Bach Mai Hospital in 2019. 2022-2023. Methods: cross-sectional study with longitudinal follow-up from hospital admission, selecting all eligible patients during the study period using convenience sampling method. Results: In the 47 patients studied, there were the following characteristics: Main causes of heart failure were coronary artery disease, hypertension, patients had to be on ventilators due to myocardial infarction, acute heart failure, and main treatment results. discharged from the hospital and asked to return home, the success rate of extubation was 53.2%, and death was 8.5%. Regarding paraclinical clinical characteristics: The patient has cyanosis, coma, cardiogenic shock, NYHA IV, accompanying pneumonia, tachypnea, decreased SpO2, causing failure to extubate the endotracheal tube. The values of Urea, NT-proBNP, Lactate, Potassium in the failed weaning group were higher than the successful group, the Ejection Fraction EF (%) in the failed weaning group was lower than the successful group. Some factors related to failure of weaning from mechanical ventilation: Accompanying pneumonia, Cardiogenic shock, Cyanosis, Coma consciousness, SpO2 %, NYHA III, IV, Respiratory rate, Urea, Potassium, Pro-BNP, fraction Ejection fraction, lactate, are prognostic factors related to failure of weaning from mechanical ventilation in patients with heart failure on mechanical ventilation. These are factors that independently affect the outcome of weaning from mechanical ventilation. Conclusion: There is a relationship between failed and successful weaning from mechanical ventilation with factors such as: cyanosis, coma, cardiogenic shock, NYHA IV, accompanying pneumonia, tachypnea, decreased SpO2, increased urea. , NT-proBNP increased, Lactate increased, Potassium decreased, Ejection fraction EF (%) decreased, these are factors that affect the outcome of weaning from mechanical ventilation.