Nursing Assessment for Predictors of Failed Weaning Among Prolonged Mechanically Ventilated Patients | ||
| Assiut Scientific Nursing Journal | ||
| Article 3, Volume 7, Issue 16, March 2019, Pages 13-23 PDF (733.92 K) | ||
| DOI: 10.21608/asnj.2019.58102 | ||
| Authors | ||
| Mahmoud Ahmed Mohamed1; Mona Aly Mohamed2; Mona. Abd Elaziem Ahmed3 | ||
| 1Clinical instructor at Assuit technical institute of health, Egypt | ||
| 2Assistant professor of critical care nursing, faculty of nursing Assuit university, Egypt | ||
| 3Lecturer of critical care nursing, faculty of nursing Assuit, university,Egypt | ||
| Abstract | ||
| Background: For adult patients with prolonged mechanical ventilation (PMV≥7 days), weaning success is an important prognostic factor in patients requiring prolonged mechanical ventilation. Weaning failure has been attributed to various factors. The aim: of the study was to identify factors contributing to long term mechanical ventilation. A Descriptive research design was adopted to conduct this study. The study was conducted in the intensive and trauma care units at Assuit university. A convenient sample: of sixty adult male and female patients admitted to mentioned settings and connected to MV. Tools: Tool one: socio-gemograghic data and clinical data, Tool two: weaning criteria scale, Tool three APACHE II score Tool four: Neurological assessment by using FOUR score. Results: the most common risk factors delay weaning were cardiovascular (66%) and neuromuscular (54.2%). Conclusion: a highly statistically significant relation was found regarding to factors as age, length of ICU stays, RSBI, PH, hemoglobin, WBCs, platelets count and respiratory rate. Recommendations: 1-good monitoring of the cardiovascular assessment with cardiologists 2- the weaning indexes have some limitations, related to study population 3- integration with other departments should be morely supported. | ||
| Keywords | ||
| Weaning Failure; Prolonged Mechanical Ventilation & Predictors | ||
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