open access

Vol 47, No 3 (2015)
Original and clinical articles
Submitted: 2015-07-09
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A single-centre 7-year experience with weaning from mechanical ventilation

Anna Rojek-Jarmuła, Rainer Hombach, Danuta Gierek, Łukasz J. Krzych
DOI: 10.5603/AIT.2015.0033
·
Anaesthesiol Intensive Ther 2015;47(3):204-209.

open access

Vol 47, No 3 (2015)
Original and clinical articles
Submitted: 2015-07-09

Abstract

Background: Weaning from mechanical ventilation is a growing and challenging issue in modern intensive care medicine. We aimed to describe a 7-year experience in mechanical ventilation weaning of a single centre in Germany.

Methods: We retrospectively analysed data regarding 403 patients admitted between 2007 and 2013 with difficult or prolonged mechanical ventilation weaning.

Results: There were 261 men (64.8%) in the population. The median age was 72 (IQR 63; 77) years. The underlying reasons for ventilator dependence comprised: post-operative respiratory failure (56.3%), exacerbation of chronic obstructive pulmonary disease (14.4%) and pneumonia (7.4%). A tracheostomy was performed about 9 (IQR 7; 14) days after the last attempt of a spontaneous breathing trial, usually with the percutaneous method (89.3%). The median length of stay was 28 (IQR 20; 41) days. Sixty-five (16.1%) patients died. Among the survivors, complete ventilator independence was achieved in 316 (78.4%) subjects while 94 (29.7%) of them required a tracheal tube on discharge. The vast majority of patients were discharged to rehabilitation clinics (56.1%). All of the analysed parameters did not statistically significantly differ between consecutive years in the investigated period.

Conclusion: Our initial results of mechanical ventilation weaning are encouraging, repeatable in subsequent years of observation and consistent with the literature data. Assessing the predictors of successful mechanical ventilation weaning requires further research.

Abstract

Background: Weaning from mechanical ventilation is a growing and challenging issue in modern intensive care medicine. We aimed to describe a 7-year experience in mechanical ventilation weaning of a single centre in Germany.

Methods: We retrospectively analysed data regarding 403 patients admitted between 2007 and 2013 with difficult or prolonged mechanical ventilation weaning.

Results: There were 261 men (64.8%) in the population. The median age was 72 (IQR 63; 77) years. The underlying reasons for ventilator dependence comprised: post-operative respiratory failure (56.3%), exacerbation of chronic obstructive pulmonary disease (14.4%) and pneumonia (7.4%). A tracheostomy was performed about 9 (IQR 7; 14) days after the last attempt of a spontaneous breathing trial, usually with the percutaneous method (89.3%). The median length of stay was 28 (IQR 20; 41) days. Sixty-five (16.1%) patients died. Among the survivors, complete ventilator independence was achieved in 316 (78.4%) subjects while 94 (29.7%) of them required a tracheal tube on discharge. The vast majority of patients were discharged to rehabilitation clinics (56.1%). All of the analysed parameters did not statistically significantly differ between consecutive years in the investigated period.

Conclusion: Our initial results of mechanical ventilation weaning are encouraging, repeatable in subsequent years of observation and consistent with the literature data. Assessing the predictors of successful mechanical ventilation weaning requires further research.

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Keywords

weaning; mechanical ventilation; chronic respiratory failure

About this article
Title

A single-centre 7-year experience with weaning from mechanical ventilation

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 47, No 3 (2015)

Pages

204-209

DOI

10.5603/AIT.2015.0033

Bibliographic record

Anaesthesiol Intensive Ther 2015;47(3):204-209.

Keywords

weaning
mechanical ventilation
chronic respiratory failure

Authors

Anna Rojek-Jarmuła
Rainer Hombach
Danuta Gierek
Łukasz J. Krzych

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