ISRCTN10162509
Completed
未知
Combination of central venous-to-arterial PCO2 difference and central venous oxygen saturation accurately predict weaning outcome from mechanical ventilation
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Respiratory
- Sponsor
- Centre Hospitalier de Lens
- Enrollment
- 85
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Aged 18 years or older
- •2\. Under mechanical ventilation for at least 48 hours
- •3\. Satisfied the weaning criteria. The readiness to wean criteria were:
- •3\.1 The resolution or improvement of the underlying cause of respiratory failure for which the patient was intubated
- •3\.2 Hemodynamic stability, defined as heart rate (HR) \< 140/min and systolic blood pressure between 90 and 160 mmHg with no or minimal doses of vasopressors
- •3\.3 Stable respiratory status, defined as oxygen saturation \>90% with fraction of inspired oxygen (FiO2\) \=0\.4 and positive end expiratory\-pressure (PEEP) \=8 cmH2O, respiratory rate (RR) \=35/min, spontaneous tidal volume (Vt) \>5 mL/kg, ratio of RR/Vt \<105/min per liter, and no significant respiratory acidosis
- •3\.4 Adequate mental status (Glasgow Coma Scale score \>13\)
- •3\.5 Adequate cough.
- •4\. Patients also had to have an arterial catheter and a central line with the tip confirmed by x\-ray to be in the superior vena cava near at the entrance or in the right atrium.
Exclusion Criteria
- •1\. Tracheotomized patients
- •2\. Do\-not\-reintubate orders
- •3\. Pregnancy
- •4\. No informed consent
- •5\. Poor cardiac echogenicity
Outcomes
Primary Outcomes
Not specified
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