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Out-of-bed extubation: a feasibility study
OBJECTIVE: In clinical intensive care practice, weaning from mechanical ventilation is accompanied by concurrent early patient mobilization. The aim of this study was to compare the success of extubation performed with patients seated in an armchair compared to extubation with patients in a supine p...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Brasileira de Medicina intensiva
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4188462/ https://www.ncbi.nlm.nih.gov/pubmed/25295820 http://dx.doi.org/10.5935/0103-507X.20140037 |
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author | Dexheimer Neto, Felippe Leopoldo Vesz, Patrini Silveira Cremonese, Rafael Viegas Leães, Clarissa Garcia Soares Raupp, Ana Carolina Tabajara Rodrigues, Cristiano dos Santos de Andrade, Juliana Mara Stormovski Townsend, Raquel da Silva Maccari, Juçara Gasparetto Teixeira, Cassiano |
author_facet | Dexheimer Neto, Felippe Leopoldo Vesz, Patrini Silveira Cremonese, Rafael Viegas Leães, Clarissa Garcia Soares Raupp, Ana Carolina Tabajara Rodrigues, Cristiano dos Santos de Andrade, Juliana Mara Stormovski Townsend, Raquel da Silva Maccari, Juçara Gasparetto Teixeira, Cassiano |
author_sort | Dexheimer Neto, Felippe Leopoldo |
collection | PubMed |
description | OBJECTIVE: In clinical intensive care practice, weaning from mechanical ventilation is accompanied by concurrent early patient mobilization. The aim of this study was to compare the success of extubation performed with patients seated in an armchair compared to extubation with patients in a supine position. METHODS: A retrospective study, observational and non-randomized was conducted in a mixed-gender, 23-bed intensive care unit. The primary study outcome was success of extubation, which was defined as the patient tolerating the removal of the endotracheal tube for at least 48 hours. The differences between the study groups were assessed using Student's t-test and chi-squared analysis. RESULTS: Ninety-one patients were included from December 2010 and June 2011. The study population had a mean age of 71 years ± 12 months, a mean APACHE II score of 21±7.6, and a mean length of mechanical ventilation of 2.6±2 days. Extubation was performed in 33 patients who were seated in an armchair (36%) and in 58 patients in a supine position (64%). There were no significant differences in age, mean APACHE II score or length of mechanical ventilation between the two groups, and a similar extubation success rate was observed (82%, seated group versus 85%, supine group, p>0.05). Furthermore, no significant differences were found between the two groups in terms of post-extubation distress, need for tracheostomy, duration of mechanical ventilation weaning, or intensive care unit stay. CONCLUSION: Our results suggest that the clinical outcomes of patients extubated in a seated position are similar to those of patients extubated in a supine position. This new practice of seated extubation was not associated with adverse events and allowed extubation to occur simultaneously with early mobilization. |
format | Online Article Text |
id | pubmed-4188462 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Associação Brasileira de Medicina intensiva |
record_format | MEDLINE/PubMed |
spelling | pubmed-41884622014-10-16 Out-of-bed extubation: a feasibility study Dexheimer Neto, Felippe Leopoldo Vesz, Patrini Silveira Cremonese, Rafael Viegas Leães, Clarissa Garcia Soares Raupp, Ana Carolina Tabajara Rodrigues, Cristiano dos Santos de Andrade, Juliana Mara Stormovski Townsend, Raquel da Silva Maccari, Juçara Gasparetto Teixeira, Cassiano Rev Bras Ter Intensiva Original Article OBJECTIVE: In clinical intensive care practice, weaning from mechanical ventilation is accompanied by concurrent early patient mobilization. The aim of this study was to compare the success of extubation performed with patients seated in an armchair compared to extubation with patients in a supine position. METHODS: A retrospective study, observational and non-randomized was conducted in a mixed-gender, 23-bed intensive care unit. The primary study outcome was success of extubation, which was defined as the patient tolerating the removal of the endotracheal tube for at least 48 hours. The differences between the study groups were assessed using Student's t-test and chi-squared analysis. RESULTS: Ninety-one patients were included from December 2010 and June 2011. The study population had a mean age of 71 years ± 12 months, a mean APACHE II score of 21±7.6, and a mean length of mechanical ventilation of 2.6±2 days. Extubation was performed in 33 patients who were seated in an armchair (36%) and in 58 patients in a supine position (64%). There were no significant differences in age, mean APACHE II score or length of mechanical ventilation between the two groups, and a similar extubation success rate was observed (82%, seated group versus 85%, supine group, p>0.05). Furthermore, no significant differences were found between the two groups in terms of post-extubation distress, need for tracheostomy, duration of mechanical ventilation weaning, or intensive care unit stay. CONCLUSION: Our results suggest that the clinical outcomes of patients extubated in a seated position are similar to those of patients extubated in a supine position. This new practice of seated extubation was not associated with adverse events and allowed extubation to occur simultaneously with early mobilization. Associação Brasileira de Medicina intensiva 2014 /pmc/articles/PMC4188462/ /pubmed/25295820 http://dx.doi.org/10.5935/0103-507X.20140037 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Dexheimer Neto, Felippe Leopoldo Vesz, Patrini Silveira Cremonese, Rafael Viegas Leães, Clarissa Garcia Soares Raupp, Ana Carolina Tabajara Rodrigues, Cristiano dos Santos de Andrade, Juliana Mara Stormovski Townsend, Raquel da Silva Maccari, Juçara Gasparetto Teixeira, Cassiano Out-of-bed extubation: a feasibility study |
title | Out-of-bed extubation: a feasibility study |
title_full | Out-of-bed extubation: a feasibility study |
title_fullStr | Out-of-bed extubation: a feasibility study |
title_full_unstemmed | Out-of-bed extubation: a feasibility study |
title_short | Out-of-bed extubation: a feasibility study |
title_sort | out-of-bed extubation: a feasibility study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4188462/ https://www.ncbi.nlm.nih.gov/pubmed/25295820 http://dx.doi.org/10.5935/0103-507X.20140037 |
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