Effect of Implementing Respiratory Care Unit Ventilator Weaning Assessment Checklist on Weaning and Extubation Outcomes.

IF 1 Q4 CRITICAL CARE MEDICINE

Critical Care Nursing Quarterly Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI:10.1097/CNQ.0000000000000532

Salwa Hassan Ahmed, Mogedda Mohamed Mehany, Emad Zarief Kamel, Asmaa Aly Mahgoub

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引用次数: 0

Abstract

Background: Approximately 48% of patients with chronic respiratory disorders experience post-extubation respiratory failure necessitating noninvasive respiratory support or reintubation, which is linked to higher morbidity and mortality. So, it is necessary to determine patients' preparedness for weaning and extubation.

Objectives: To examine the effect of implementing respiratory care unit (RCC) ventilator weaning assessment checklist on weaning and extubation outcomes.

Methods: Randomized controlled trial, carried out in 70 patients receiving mechanical ventilation from January 2023 to September 2023 at the respiratory intensive care units at Assiut University Hospital, Egypt. Patients were randomly assigned to a study and a usual care group, with 35 patients for each group. The usual care group weaned using the routine method, while the study group weaned using (RCC) ventilator weaning assessment checklist; the 2 groups were compared concerning weaning and extubation outcomes.

Results: Compared to the usual care group, the study group's weaning success rate was significantly higher than that of the usual care group (88.6% vs 51.4%; P = .008), and extubation failure rate was significantly lower (17.1% vs 45.7%; P = .010).

Conclusions: Using RCC ventilator weaning assessment checklist improving weaning and extubation outcomes.

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实施呼吸护理单元呼吸机脱机评估表对脱机和拔管结果的影响。

背景：大约48%的慢性呼吸疾病患者拔管后出现呼吸衰竭，需要无创呼吸支持或再插管，这与较高的发病率和死亡率有关。因此，有必要确定患者对脱机拔管的准备情况。目的：探讨实施呼吸护理单位（RCC）呼吸机脱机评估表对脱机和拔管结果的影响。方法：对2023年1月至2023年9月在埃及Assiut大学医院呼吸重症监护病房接受机械通气的70例患者进行随机对照试验。患者被随机分配到一个研究组和一个常规护理组，每组35名患者。常规护理组采用常规方法断奶，研究组采用（RCC）呼吸机断奶评估表断奶；比较两组患儿的脱机和拔管结果。结果：与常规护理组相比，研究组的断奶成功率明显高于常规护理组(88.6% vs 51.4%；P = 0.008)，拔管失败率显著低于对照组(17.1% vs 45.7%；P = .010)。结论：使用RCC呼吸机脱机评估表可改善脱机和拔管效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.