Document Detail


Clinical outcomes of failed extubation in a postoperative intensive care unit.
MedLine Citation:
PMID:  12452240     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The causes and consequences of failed extubation in postoperative intensive care unit (ICU) patients were prospectively collected by clinical observation study in the surgical ICU Siriraj Hospital from 1st October 2000 to 31st March 2001. The failure rate was 1.7 per cent (9/477). Patients underwent the following types of surgery: abdominal surgery 66.67 per cent, orthopedic 22.22 per cent, and head-neck surgery 11.11 per cent. Reasons for reintubation were respiratory failure 55.56 per cent (5/9), inadequate cough reflex 22.22 per cent (2/9), congestive heart failure 11.11 per cent (1/9), and acute myocardial infarction 11.11 per cent (1/9). The consequences of failed extubation were worse outcomes:- the average length of stay in these patients increased from 3.67 days to 9.3 days. The mortality rate was 33.33 per cent. Tracheostomy was required in 55.56 per cent. From these observations we conclude that extubation should be performed at the appropriate time for each patient. This will differ according to the patient and his/her circumstances.
Authors:
Patiparn Toomtong; Manee Raksakietisak; Puttipannee Vorakitpokatorn
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  85 Suppl 3     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-11-27     Completed Date:  2003-01-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  S987-92     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Blood Gas Analysis
Female
Hospital Mortality
Humans
Intensive Care Units
Intubation, Intratracheal / statistics & numerical data*
Length of Stay / statistics & numerical data
Male
Middle Aged
Prospective Studies
Risk Factors
Tracheostomy / statistics & numerical data
Treatment Failure
Treatment Outcome
Ventilator Weaning / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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