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KMID : 1140920170410030450
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Annals of Rehabilitation Medicine
2017 Volume.41 No. 3 p.450 ~ p.455
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Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease: Case Series
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Kim Sun-Mi
Kang Seong-Woong
Choi Young-Chul
Park Yoon-Ghil
Won Yu-Hui
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Abstract
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Objective: To report successful cases of extubation from invasive mechanical ventilation at our institution using pulmonary rehabilitation consisting of noninvasive ventilation (NIV) in neuromuscular patients with experience of reintubation.
Methods: Patients who experienced extubation failure via the conventional weaning strategy but afterwards had extubation success via NIV were studied retrospectively. Continuous end-tidal CO2 (ETCO2) and pulse oxyhemoglobin saturation (SpO2) monitoring were performed. Extubation success was defined as a state not requiring invasive mechanical ventilation via endotracheal tube or tracheotomy during a period of at least 5 days.
Results: A total of 18 patients with ventilatory failure who initially experienced extubation failure were finally placed under part-time NIV after extubation. No patient had any serious or long-term adverse effect from NIV, and all patients left the hospital alive.
Conclusion: NIV may promote successful weaning in neuromuscular patients with experience of reintubation.
KEYWORD
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KEYWORD
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Extubation failure, Ventilatory failure, Noninvasive ventilation
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