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Colegio de Medicina Interna de México.

2020, Number 2

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Med Int Mex 2020; 36 (2)

Failed extubation in intensive care of traumatology

Sosa-Medellín MÁ, Landaverde-López A

Language: Spanish
References: 16
Page: 166-172
PDF size: 198.31 Kb.


ABSTRACT

Background: The percentage of failed extubation reported in the literature in medical intensive care units (ICU) is 10-20%.
Objective: To know the percentage of failed extubation in the trauma intensive care unit.
Material and Method: An observational study was conducted, without intervention, transversal and prospective, in the period from March 1st, 2017 to February 28, 2018. The inclusion criteria were: patients who entered to the trauma ICU, who used mechanical ventilation for more than 24 hours and that were extubated; both genders were accepted, who were entitled to the health Institute, coming from the emergency room or operating room.
Results: A hundred patients met the inclusion criteria, the percentage of failed extubation was 24%, the prevalence risk factors for failed extubation were not receiving a ventilation withdrawal protocol (p = 0.001), more than 7 days of mechanical ventilation (p = 0.01) and hypokalemia (p = 0.02).
Conclusion: The percentage of failed extubation found in this ICU was 24%.


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