ORIGINAL ARTICLE
Year : 2016  |  Volume : 10  |  Issue : 2  |  Page : 173-178

Role of noninvasive ventilation in decreasing the length of postextubation ICU stay


1 Department of Chest Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
2 Mahallah Chest Hospital, Mahallah, Egypt

Correspondence Address:
Hebatallah H Assal
Department of Chest Diseases, Faculty of Medicine, Cairo University, 67A Mena Garden City, 6 October, Giza, Cairo 12451
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-8426.184364

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Background: Respiratory failure after a planned extubation is reported to be a common event, leading to reintubation. These reintubated patients have higher morbidity, mortality, hospitalization charges, and an increased length of hospital stay. Aim of the study: The aim of this study was to assess the role of noninvasive ventilation (NIV) in decreasing the length of postextubation ICU stay. Results: Fifty-six patients with respiratory failure type II were included in our study after exclusion of four patients who had self-extubation. Twenty-six patients were allocated to the NIV group and 26 to the control group. Physiological variables of the patients 1 h after the trial were mainly significantly better in the NIV group than in the standard medical treatment (SMT) group. Trial duration was significantly shorter in the NIV group than in the SMT group. Conclusion: This supports the use of NIV early after extubation in all patients regardless of risk for respiratory failure.


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