دوره 5، شماره 2 - ( پاییز 1398 )                   جلد 5 شماره 2 صفحات 1-13 | برگشت به فهرست نسخه ها

XML English Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Dehvan F, Soleimani M, Ghanei Gheshlagh R. Weaning Indices of Mechanical Ventilator: An Integrative Review of the National Published Articles. SJNMP. 2019; 5 (2) :1-13
URL: http://sjnmp.muk.ac.ir/article-1-259-fa.html
دهون فاضل، سلیمانی محسن، قانعی قشلاق رضا. شاخص های جداسازی از ونتیلاتور: مروری یکپارچه بر مقالات داخلی منتشرشده. فصلنامه پرستاری، مامایی و پیراپزشکی. 1398; 5 (2) :1-13

URL: http://sjnmp.muk.ac.ir/article-1-259-fa.html


1- دانشگاه علوم پزشکی کردستان
2- دانشگاه علوم پزشکی سمنان
3- دانشگاه علوم پزشکی کردستان ، Rezaghanei30@yahoo.com
چکیده:   (492 مشاهده)
زمینه و هدف: یکی از اساسی ترین اقدامات حمایتی در بیماران بستری در بخش‌های مراقبت ویژه استفاده از تهویه مکانیکی می‌باشد. طولانی شدن مدت تهویه مکانیکی می‌تواند موجب وابستگی و مشکلات و عوارض مختلفی برای بیماران شود. به همین دلیل یکی از مراحل مهم فرایند درمان بیماران تحت تهویه مکانیکی، جداسازی مطلوب و به‌موقع بیماران از دستگاه تهویه مکانیکی می باشد. مطالعه حاضر با هدف بررسی شاخص های جداسازی از ونتیلاتور به صورت مروری یکپارچه و سیستماتیک انجام شد.
مواد و روش ها: در این مطالعه جستجوی مقالات با استفاده از کلیدواژه های فارسی جداسازی، وینینگ و جداسازی از ونتیلاتور و کلیدواژه های انگلیسی معادل آن ها، weaning  و ventilator weaning در پایگاه های اطلاعاتی داخلی و خارجی SID، Magiran, Iran Medex, web of science، Science Direct، PubMed،Google Scholar و Scopus بدون محدودیت زمانی انجام شد. در نهایت 15 مقاله وارد مطالعه شدند.
یافته ها: مرور 15 مقاله مرتبط نشان داد که شاخص های متعددی از جمله RSBI، IWI، P0.1، NIF و CROP جهت پیش‌بینی زمان مناسب جداسازی وجود دارد و مزایا و معایب هر یک از شاخص‌های جداسازی به‌صورت پراکنده در مطالعات مختلف گزارش‌شده است.
نتیجه گیری: با توجه به نتایج مطالعه می توان دریافت یک شاخص واحد و مورد توافق همگان به‌منظور جداسازی بهینه بیماران از تهویه مکانیکی وجود ندارد، لذا جمع‌بندی یافته های موجود در رابطه با تعیین شاخص های دقیق و موثر جهت جداسازی موفق بیماران تحت تهویه مکانیکی ضروری به نظر می رسد.
متن کامل [PDF 758 kb]   (341 دریافت)    
نوع مطالعه: مروری | موضوع مقاله: تخصصي
دریافت: 1398/3/28 | ویرایش نهایی: 1398/10/28 | پذیرش: 1398/6/2 | انتشار: 1398/8/10 | انتشار الکترونیک: 1398/8/10

فهرست منابع
1. Khoobi M, Ahmady Hedayat M, Mohammady N, Ashghali Farahani M, Haghani H, Anisiyan A. The Relationship between Respiratory Indexes with the Consequences of Weaning from Mechanical Ventilator in CABG Patients in ShahidRajaei Hospital, Tehran, Iran, 2011. Qom Univ Med Sci J. 2015;8(6):66-71.
2. Muttini S, Villani PG, Trimarco R, Bellani G, Grasselli G, Patroniti N. Relation between peak and integral of the diaphragm electromyographic activity at different levels of support during weaning from mechanical ventilation: a physiologic study. Journal of critical care. 2015;30(1):7-12. [DOI:10.1016/j.jcrc.2014.08.013]
3. Danckers M, Grosu H, Jean R, Cruz RB, Fidellaga A, Han Q, et al. Nurse-driven, protocol-directed weaning from mechanical ventilation improves clinical outcomes and is well accepted by intensive care unit physicians. Journal of critical care. 2013;28(4):433-41. [DOI:10.1016/j.jcrc.2012.10.012]
4. Criner G. Long-term ventilator-dependent patients: New facilities and new models of care. The American perspective. Pulmonology. 2012;18(5):214-6. [DOI:10.1016/j.rppneu.2012.04.004]
5. Chaiwat O, Sarima N, Niyompanitpattana K, Komoltri C, Udomphorn Y, Kongsayreepong S. Protocol-directed vs. physician-directed weaning from ventilator in intra-abdominal surgical patients. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 2010;93(8):930-6.
6. Monaco F, Drummond GB, Ramsay P, Servillo G, Walsh TS. Do simple ventilation and gas exchange measurements predict early successful weaning from respiratory support in unselected general intensive care patients? British journal of anaesthesia. 2010;105(3):326-33. [DOI:10.1093/bja/aeq184]
7. Farghaly S, Galal M, Hasan AA, Nafady A. Brain natriuretic peptide as a predictor of weaning from mechanical ventilation in patients with respiratory illness. Australian critical care: official journal of the Confederation of Australian Critical Care Nurses. 2015;28(3):116-21. [DOI:10.1016/j.aucc.2014.12.002]
8. McLean SE, Jensen LA, Schroeder DG, Gibney NR, Skjodt NM. Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2006;15(3):299-309.
9. Hosseini M, Ramezani J. The Assessment Of Apache Ii Scoring System As Predictor The Outcomes Of Weaning From Mechanical Ventilation. Knowledge And Health. 2007;2(3):2-7.
10. Ali ER, Mohamad AM. Diaphragm ultrasound as a new functional and morphological index of outcome, prognosis and discontinuation from mechanical ventilation in critically ill patients and evaluating the possible protective indices against VIDD. Egyptian Journal of Chest Diseases and Tuberculosis. 2017;66(2):339-51. [DOI:10.1016/j.ejcdt.2016.10.006]
11. Karthika M, Al Enezi FA, Pillai LV, Arabi YM. Rapid shallow breathing index. Annals of thoracic medicine. 2016;11(3):167-76. [DOI:10.4103/1817-1737.176876]
12. Ray A. Integrative Weaning Index: A Few Observations. Indian J Crit Care Med. 2017;21(11):805-6. [DOI:10.4103/0972-5229.218154]
13. Sassoon CS, Mahutte CK. Airway occlusion pressure and breathing pattern as predictors of weaning outcome. The American review of respiratory disease. 1993;148(4 Pt 1):860-6. [DOI:10.1164/ajrccm/148.4_Pt_1.860]
14. Cortés R E. Negative Inspiratory Pressure as a Predictor of Weaning Mechanical Ventilation. Journal of Anesthesia & Intensive Care Medicine.2017;3(1):e555602. [DOI:10.19080/JAICM.2017.03.555602]
15. Alvisi R, Volta CA, Righini ER, Capuzzo M, Ragazzi R, Verri M, et al. Predictors of weaning outcome in chronic obstructive pulmonary disease patients. The European respiratory journal. 2000;15(4):656-62. [DOI:10.1034/j.1399-3003.2000.15d06.x]
16. Moosavinasab SMM, Hosseini Zijoud SM, Vahedi E, KhoshFetrat M, Shabab S, Madani S, et al. Validation of Combined Index during Weaning from a Mechanical Ventilator in Chronic Obstructive Pulmonary Patients: An Observational Prospective Multi-center Triple-blinded Study in Military Hospitals in Iran. Journal of Military Medicine. 2018;20(1):93-104.
17. Amri P, Zahra Mirshabani S, Hossein Ardehali S. Weaning the Patient from the Mechanical Ventilator: A Review Article. Arch Crit Care Med. 2016;1(4):e8363. [DOI:10.17795/accm-8363]
18. Dehghani A, Abdeyazdan G, Davaridolatabadi E. An Overview of the Predictor Standard Tools for Patient Weaning from Mechanical Ventilation. Electronic physician. 2016;8(2):1955-63. [DOI:10.19082/1955]
19. Cooper H. Integrating research: A guide for literature reviews. ed n, editor. Newbury Park, California Sage Publications; 1989.
20. Ghanbari A, Mohammad Ebrahimzadeh A, Paryad E, Atrkarroshan Z, Mohammadi M. Factors Affecting the Duration of Weaning from Mechanical Ventilation Based on Burn Scale in the Intensive Care Units. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2018;26(1):33-9. [DOI:10.30699/sjhnmf.26.1.33]
21. Basiri R, Malekzadeh J, Mazloom SR, Derogari M. Comparison between CROP and Rapid Shallow Breathing index as predictors of weaning in predicting the outcome of discontinuation from mechanical ventilation in ICU patients. medical journal of mashhad university of medical sciences. 2018;61(1):825-35.
22. Sedighi Nezhad H, Tadrissi SD, Ebadi A, Madani SJ. Comparison of the outcomes of weaning with currrent and IWI-based methods in patients admitted to ICU of selected hospitals in Tehran. journal of iranian society anaesthesiology and intensive care. 2013;35(83):1-11.
23. Tadrissi Sd, Sedighi Nejad H, Madani Sj, Ebadi A, Saghafiniya M, Farmand F. Comparison Of The Weaning Indexes Of Discontinuation From Mechanical Ventilation In Icus: A Prospective Single Blind Study. Journal Of Iranian Society Anaesthesiology And Intensive Care 2012;34(80):12-9.
24. Keykha A, Dahmardeh A, Khoshfetrat M. Comparison of Success Rate of Weaning from Mechanical Ventilation Using Burn's Wean Assessment Program and Routine Method. Crit Care Nurs J. 2017;In Press. [DOI:10.5812/ccn.12557]
25. Dehghani A, Davaridolatabadi E, Abdeyazdan G. Comparison of SOFA and APACHEII Scores in Predicting Weaning of Patients from Ventilator in the ICU Ward of Amin Hospital in Isfahan, Iran. Health Sciences. 2016;5(9S):128-36.
26. Bazrafshan F, Irajpour A, Abbasi S, Mahaki B. Validity and reliability of "Persian Weaning Tool" in mechanically ventilated patients. Advanced biomedical research. 2016;5:157. [DOI:10.4103/2277-9175.188488]
27. Madani SJ, Saghafinia M, Sedighi Nezhad H, Ebadi A, Ghochani A, Fazel Tavasoli A, et al. Validity of Integrative Weaning Index of Discontinuation From Mechanical Ventilation in Iranian ICUs. Thrita. 2013;2(4):62-8. [DOI:10.5812/thrita.12827]
28. Yazdannik A, Salmani F, Irajpour A, Abbasi S. Application of Burn's wean assessment program on the duration of mechanical ventilation among patients in intensive care units: A clinical trial. Iranian journal of nursing and midwifery research. 2012;17(7):520-3.
29. Mahoori AR, Nowruzinia S, Farasatkish R, Ali Mollasadeghi G, Kianfar AA, Toutounchi MZ. Assessment of the rapid shallow breathing index as a predictor of weaning of patients with prolonged mechanical ventilation. Tanaffos. 2007;6(3):30-5.
30. Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. The New England journal of medicine. 1991;324(21):1445-50. [DOI:10.1056/NEJM199105233242101]
31. Haas CF, Loik PS. Ventilator Discontinuation Protocols. Respiratory Care. 2012;57(10):1649-62. [DOI:10.4187/respcare.01895]
32. Plani N, Becker P, van Aswegen H. The use of a weaning and extubation protocol to facilitate effective weaning and extubation from mechanical ventilation in patients suffering from traumatic injuries: a non-randomized experimental trial comparing a prospective to retrospective cohort. Physiotherapy theory and practice. 2013;29(3):211-21. [DOI:10.3109/09593985.2012.718410]
33. Jacob P, Nileshwar A, Johnson S. Comparison of five weaning indices in predicting successful weaning from mechanical ventilation. Indian Journal of Respiratory Care.2013;2(2):299-306.
34. John J, Johnson S, Shenoy A. Comparison of five weaning indices in predicting successful weaning from mechanical ventilation. Indian Journal of Respiratory Care. 2013;2(2):299-306.
35. Mabrouk AA, Mansour OF, El-Aziz AAA, Elhabashy MM, Alasdoudy AA. Evaluation of some predictors for successful weaning from mechanical ventilation. Egyptian Journal of Chest Diseases and Tuberculosis. 2015;64(3):703-7. [DOI:10.1016/j.ejcdt.2015.03.021]
36. Conti G, Montini L, Pennisi MA, Cavaliere F, Arcangeli A, Bocci MG, et al. A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation. Intensive care medicine. 2004;30(5):830-6. [DOI:10.1007/s00134-004-2230-8]
37. Nemer SN, Barbas CS, Caldeira JB, Guimaraes B, Azeredo LM, Gago R, et al. Evaluation of maximal inspiratory pressure, tracheal airway occlusion pressure, and its ratio in the weaning outcome. Journal of critical care. 2009;24(3):441-6. [DOI:10.1016/j.jcrc.2009.01.007]
38. Van Rynen JL, Rega PP, Budd C, Burkholder-Allen KJ. The Use of Negative Inspiratory Force by ED Personnel to Monitor Respiratory Deterioration in the Event of a Botulism-induced MCI. Journal of Emergency Nursing. 2009;35(2):114-7. [DOI:10.1016/j.jen.2007.12.010]
39. Nemer SN, Barbas CSV, Caldeira JB, Cárias TC, Santos RG, Almeida LC, et al. A new integrative weaning index of discontinuation from mechanical ventilation. Critical care (London, England). 2009;13(5):R152-R. [DOI:10.1186/cc8051]
40. Abhishek Vivek V. Integrative weaning index (IWI): A respiratory therapy view point. Journal of Medical & Allied Sciences. 2018;8(2):102-4. [DOI:10.5455/jmas.292260]
41. Conti G, Antonelli M, Arzano S, Gasparetto A. Equipment review: Measurement of occlusion pressures in critically ill patients. Critical Care. 1998;1(3):89. [DOI:10.1186/cc110]
42. Vargas F, Boyer A, Bui HN, Salmi LR, Guenard H, Gruson D, et al. Respiratory failure in chronic obstructive pulmonary disease after extubation: value of expiratory flow limitation and airway occlusion pressure after 0.1 second (P0.1). Journal of critical care. 2008;23(4):577-84. [DOI:10.1016/j.jcrc.2007.12.009]
43. Lu J, Chen R, Tang L, Yin H, Shi X, Wu M, Et Al. Comparison Of The Prognostic Effects Of Apache Ii Score And The Triss For Geriatric Trauma Patients In The Intensive Care Unit. International Journal Of Clinical And Experimental Medicine. 2018;11(9):9646-53.
44. Chen C, Tsai MM, Shih Y, editors. Early Prediction of Ventilator Weaning with Decision Tree Analysis. the 8th International Conference on Bioscience, Biochemistry and Bioinformatics. 2018;99-103. [DOI:10.1145/3180382.3180398]
45. Gogia P, Koreti S, Patel G. SOFA (sequential organ failure assessment) and PELOD (pediatric logistic organ dysfunction). Sch J App Med Sci. 2015;3(4A):1645-8.
46. Ismaeil MF, El-Shahat HM, El-Gammal MS, Abbas AM. Unplanned versus planned extubation in respiratory intensive care unit, predictors of outcome. Egyptian Journal of Chest Diseases and Tuberculosis. 2014;63(1):219-31. [DOI:10.1016/j.ejcdt.2013.09.023]
47. Gnanapandithan K, Agarwal R, Aggarwal AN, Gupta D. Weaning by gradual pressure support (PS) reduction without an initial spontaneous breathing trial (SBT) versus PS-supported SBT: a pilot study. Revista portuguesa de pneumologia. 2011;17(6):244-52. [DOI:10.1016/j.rppneu.2011.06.015]
48. Irajpour A, Khodaee M, Yazdannik A, Abbasi S. Developing a readiness assessment tool for weaning patients under mechanical ventilation. Iranian journal of nursing and midwifery research. 2014;19(3):273.
49. Burns SM, Fisher C, Earven Tribble SS, Lewis R, Merrel P, Conaway MR, et al. Multifactor clinical score and outcome of mechanical ventilation weaning trials: Burns Wean Assessment Program. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2010;19(5):431-9. [DOI:10.4037/ajcc2010273]

ارسال نظر درباره این مقاله : نام کاربری یا پست الکترونیک شما:
CAPTCHA

ارسال پیام به نویسنده مسئول


کلیه حقوق این وب سایت متعلق به فصلنامه پرستاری، مامایی و پیراپزشکی می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2020 All Rights Reserved | Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Designed & Developed by :M.TAHAN