Assist Control Ventilation Versus Synchronized Mode Intermittent Mandatory Ventilation in Pediatric Intensive Care Unit
Abd El Fatah, N., Abdul Rahman, D., Agaarib, I. (2020). Assist Control Ventilation Versus Synchronized Mode Intermittent Mandatory Ventilation in Pediatric Intensive Care Unit. EKB Journal Management System, 81(4), 1903-1909. doi: 10.21608/ejhm.2020.121920
Nehad Ahmed Karam Abd El Fatah; Dalia Abdul Latif Abdul Rahman; Ibrahim Saleh Farag Agaarib. "Assist Control Ventilation Versus Synchronized Mode Intermittent Mandatory Ventilation in Pediatric Intensive Care Unit". EKB Journal Management System, 81, 4, 2020, 1903-1909. doi: 10.21608/ejhm.2020.121920
Abd El Fatah, N., Abdul Rahman, D., Agaarib, I. (2020). 'Assist Control Ventilation Versus Synchronized Mode Intermittent Mandatory Ventilation in Pediatric Intensive Care Unit', EKB Journal Management System, 81(4), pp. 1903-1909. doi: 10.21608/ejhm.2020.121920
Abd El Fatah, N., Abdul Rahman, D., Agaarib, I. Assist Control Ventilation Versus Synchronized Mode Intermittent Mandatory Ventilation in Pediatric Intensive Care Unit. EKB Journal Management System, 2020; 81(4): 1903-1909. doi: 10.21608/ejhm.2020.121920

Assist Control Ventilation Versus Synchronized Mode Intermittent Mandatory Ventilation in Pediatric Intensive Care Unit

The Egyptian Journal of Hospital Medicine
Article 29, Volume 81, Issue 4, October 2020, Page 1903-1909  XML PDF (390.45 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2020.121920
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Authors
Nehad Ahmed Karam Abd El Fatah1; Dalia Abdul Latif Abdul Rahman1; Ibrahim Saleh Farag Agaarib* 2
1Department of Pediatrics, Faculty of Medicine, Zagazig University, Egypt
2Department of Pediatrics, Faculty of Medicine, Sirte University, Libya
Abstract
Background: Ventilator weaning consists of the gradual reduction of ventilatory support and the transfer of respiratory control and the work of breathing back to the patient, resulting in discontinuation of mechanical ventilation. Objective: The aim of this study was to compare between assisted controlled (AC) ventilation mode and synchronized intermittent mandatory ventilation (SIMV) mode for easy weaning in pediatric intensive care unit (PICU). Subjects and methods: This was non-randomized control trial; 50 patients were selected and divided alternatively into two equal groups: an AC group (ACG) and an SIMV group (SIMVG). The patients were connected on SIMV or AC mode according to inclusion and exclusion criteria and follow up of the cases was done regarding ventilator settings, compliance of the patients, need of sedation, and progress of weaning process. Results: the results revealed that there wass statistically non-significant difference between the studied groups regarding progress or weaning interruption. Larger percentage within both groups had progressive uninterrupted weaning. Conclusion: We found no evidence to support any clear-cut advantage of SIMV or AC in the acute management of respiratory failure, and we concluded that AC and SIMV could improve and fasten the weaning process and increase the success rate of weaning.
Keywords
Intermittent; Rate; SIMV; Synchronized; Ventilation; Weaning
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