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2007, Number 2

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Gac Med Mex 2007; 143 (2)

Factores predictores de falla en la extubación en recién nacidos de pretérmino

Tapia-Rombo CA, Galindo-Alvarado AM, Saucedo-Zavala VJ, Cuevas-Urióstegui ML

Language: Spanish
References: 28
Page: 101-108
PDF size: 73.72 Kb.


ABSTRACT

Objective: To determine the factors that lead to extubation failure among preterm newborns (PTN).
Material and methods: Failure was determined when patients had to be reintubated during the first 72 hours. Critically-ill preterm newborns needing mechanical assisted ventilation at least during 24 hours were studied prospectively. Two groups were included: Group A, who failed in extubation for the first time and Group B, a control group who did not fail. Significance was set a p ‹0.05.
Results: Gestational age and birth weight showed significant differences in Group B (control group). Significant factors in the multivariate analysis were gestational age ‹32 weeks, caloric intake ≤100 calories/kg/day and mean airway pressure (MAP) =4.5 cm H2O.
Conclusions: According to our results, an extubation should be planned whenever a patient is a PTN, has a gestational age of ‹32 weeks, a caloric intake ›100 cal/kg /day, and its ventilator MAP is ‹4.5 cm H2O.


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