Comparison of the Weaning Rate in Three Mechanical Ventilation Methods, Automatic Tube Compensation and Pressure Support Ventilation with Airway Pressure of Five and Eight Centimeters of Water

Document Type : Original Article (s)

Authors

1 Professor, Anesthesiology and Critical Care Research Center AND Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Anesthesiology and Critical Care Research Center AND Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Resident, Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Assistant Professor, Anesthesiology and Critical Care Research Center AND Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: This study aimed to compare the weaning rate in three mechanical ventilation methods, automatic tube compensation and pressure support ventilation with airway pressure of five and eight centimeters of water.Methods: In a clinical trial study, 105 patients admitted to the intensive care unit who needed ventilation distributed randomly in three groups of 35 individuals, under ventilation with automatic compensation tube mode (group 1), and under ventilation with pressure support ventilation with airway pressure of five (group 2) or eight (group 3) centimeters of water. The patients were placed in isolation and the rate and the time of success weaning from the device were compared between the three groups.Findings: The rate of success in weaning from the ventilator in was 88.6, 57.1 and 85.7 percent in groups 1, 2, and 3, respectively; and the difference between the groups was statistically significant (P = 0.002). Mean (± SD) time of weaning in the three groups was 6.9 ± 3.7, 8.9 ± 6.4 and 7.1 ± 10.6 days, respectively; and there was not any significant difference between the three groups (P = 0.490).Conclusion: The rate of success in weaning from the device in patients undergoing mechanical ventilation under automatic tube compensation mode was higher and therefore, selecting this mode in these patients is better. In addition, morbidity and mortality rates and hospital costs would decrease in this method and bed capacity in intensive care units which is now a major problem for hospitals and health centers would increase.

Keywords

References

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Journal of Isfahan Medical School
Volume 34, Issue 405 - Serial Number 405
September and October 2017
Pages 1297-1303

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History

  • Receive Date: 17 August 2016
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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