Assessment of the result of the ventilatory weaning process in patients with head trauma and their relationship with the Apache II Index
Keywords:
APACHE II, TBI, invasive mechanical ventilationAbstract
Objectives: Evaluate the mortality prevalence, success and failure of weaning, TBI subjects submitted to IMV discharge and correlate the disease severity verified by APACHE II index with the prevalence of obit and no-obit. Methods: Retrospective study, noninterventionist and evaluated medical records that belong to patients with TBI admitted in Hospital Regional during the period of January 2013 to July 2014. To be included in the study group, the patients must be of both genders, have age between 16 to 90 years old and had been submitted to IMV with intubation or tracheostomy. After the inclusion of the patients in the study group, we will evaluate the medical records for further registry of the survey data, including: mortality prevalence, failure of weaning, success of weaning, ICU discharge, hospital discharge and hospitalization time. Results: This present review evaluated 29 medical records, where 51,73% of the subjects obtained success of ventilator weaning and discharge, 48,27% of the subjects died, the no-obit group presented APACHE II average of 20,21 and obit group presented APACHE II average of 18,86667.Conclusion: The prevalence of success and failure of weaning and discharge presented similar behavior with other studies. There is no relation between APACHE II index and obit and no-obit.
Downloads
References
Ministério da saúde, 2004.acessado em 01 de fevereiro de 2010 disponível em: http://www.datasus.gov.br
II Consenso Brasileiro de Ventilação Mecânica, 2000. http://www.saude.ufpr.br/portal/labsim/wp- content/uploads/sites/23/2019/01/II-CONSENSO-BRASILEIRO-SOBRE-DPOC-SBPT-2004.pdf
III Consenso Brasileiro de Ventilação Mecânica, J Bras Pneumol 2007;33(supl 2): s 142-s 150. https://www.scielo.br/j/jbpneu/a/4zVy6TdCbZDhnpkTSjwM9wF/?format=pdf&lang=pt
Sugerman HJ, Wolfe L, Pasquale MD, Rogers FB, O’malley KF, Knudson M, Dinardo L, Gordon M, Schaffer S. Multicenter, randomized prospective trial of early tracheostomy. J trauma. 1997; 43:741– 747. https://pubmed.ncbi.nlm.nih.gov/9390483/
Capone Neto A, Knobel e. 3 edições volume 1.
Chesnut RM: secondary brain insults after head injury: clinical perspectives. New Horiz 1995, 3:366-75.2. https://pubmed.ncbi.nlm.nih.gov/7496744/
Unterberg AW, Stover JF, Kress D, Kiening KL: edema and brain trauma. Neuroscience 2004, 129:1021-9. https://pubmed.ncbi.nlm.nih.gov/15561417/
Mascia l, Grasso S, Fiore T, Bruno F, Berardino M, Ducati A: Cerebropulmonary interactions during the application of low levels of positive end-expiratory pressure. Intensive care med 2005, 31(3):373-379. https://pubmed.ncbi.nlm.nih.gov/15668765/
Costa, FJ. Protocolo de condutas e rotinas fisioterápicas do Hospital Regional de Presidente Prudente. https://www.google.com/search?q=Costa%2C+FJ.+Protocolo+de+condutas+e+rotinas+fisioter%C3% A1picas+do+Hospital+Regional+de+Presidente+Prudente.&rlz=1C1GCEA_enPY915PY915&oq=Costa%2C+FJ.+Protocolo+de+condutas+e+rotinas+fisioter%C3%A1picas+do+Hospital+Regional+de+ Presidente+Prudente.&aqs=chrome..69i57.1123j0j4&sourceid=chrome&ie=UTF-8
Brochard l. Et al comparison of three methods of gradual withdrawal from ventilator support during weaning from mechanical ventilation. Am j respir crit Care Med. 1994;150(4):896-903. https://pubmed.ncbi.nlm.nih.gov/7921460/
Madden ja: the effect of carbon dioxide on cerebral arteries. Pharmacol therap 1993, 59:229–250. https://pubmed.ncbi.nlm.nih.gov/8278463/
Hillier, SL, Hiller, JE, Metzer, J. Epidemiology of traumatic brain injury in south australia. Brain inj 1997; 11:649. https://austinpublishinggroup.com/neurology-neurosciences/fulltext/ann-v1- id1007.php
Teasdale G, Jennett B: assessment of coma and impaired consciousness: a practical scale. Lancet 1974, 2:81-84. https://pubmed.ncbi.nlm.nih.gov/4136544/
Knaus WA, et al., apache II: a severity of disease classification system. Crit care med. 1985 t;13(10):818-29. 2011; 114-5. https://europepmc.org/article/med/3928249
Freitas, EEC, David,CMN Avaliação do sucesso do desmame da ventilação mecânica. Rev. Bras. ter. Intensiva 2006; 18(4):351359. https://www.scielo.br/j/rbti/a/wrvnB6x8N8W85whVJX3JBjL/?format=pdf&lang=pt
Feitoza, DS; Freitas,MC; Silveira RE-Traumatismo crânio-encefálico: diagnóstico de enfermagem a vítimas atendidas em UTI. Revista Eletrônica de Enfermagem,v.06,n02,2004.Disponível em WWW.fen.urg.br
Toledo C, Cinthia G, Eliane T, Suzana M Rev Bras Ter Intensiva. 2008; 20(4): 339-343. https://www.scielo.br/j/rbti/a/NjnX7VZVZWjqVgydZgDddYp/abstract/?lang=pt
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Edmar Ramos Mota, Anderson Damasceno Aoki, María Luisa Hermosilla de Olmedo

This work is licensed under a Creative Commons Attribution 4.0 International License.


