Successful Extubation After Weaning Failure by Noninvasive Ventilation in Patients With Neuromuscular Disease: Case Series.
10.5535/arm.2017.41.3.450
- Author:
Sun Mi KIM
1
;
Seong Woong KANG
;
Young Chul CHOI
;
Yoon Ghil PARK
;
Yu Hui WON
Author Information
1. Department of Medicine, Graduate School of Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Extubation failure;
Ventilatory failure;
Noninvasive ventilation
- MeSH:
Humans;
Neuromuscular Diseases*;
Noninvasive Ventilation*;
Oxyhemoglobins;
Rehabilitation;
Respiration, Artificial;
Retrospective Studies;
Tracheotomy;
Weaning*
- From:Annals of Rehabilitation Medicine
2017;41(3):450-455
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
