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首页> 外文期刊>Advances in Bioscience and Clinical Medicine >Causes and risk factors of reintubation in Shahid Madani cardiac surgery ICU during 2012-2013
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Causes and risk factors of reintubation in Shahid Madani cardiac surgery ICU during 2012-2013

机译：2012-2013年Shahid Madani心脏外科ICU再次插管的原因和危险因素

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Background: Extubation failure rate is one of the criteria for assessing the quality of care in intensive care unit (ICU) and higher or lower extubation failure rates indicate longer mechanical ventilation or inappropriate weaning criteria of patients, respectively. The aim of the present study was to evaluate the rate and causes of extubation failure in the cardiac surgery ICU of Tabriz Shahid Madani hospital during 2012-2013. Methods: In a cross-sectional study during 2012-2013, all intubated adult patients (over 18 years old) after cardiac surgery admitted to ICU who were re-intubated within 72 hours after extubation were studied. Results: Overall, 31 patients had the inclusion criteria. Extubation failure rate during one year was 2.45%. Extubation failure causes were hypoxemia, cardiopulmonary arrest, sepsis, acute renal failure, re-operation, shock, acute respiratory distress syndrome, pneumonia, seizures, decreased level of consciousness, copious secretion, and severe agitation. Re-intubation risk factors included chronic obstructive pulmonary disease, diabetes mellitus, renal failure, heart failure, ARDS, pneumonia, intra-aortic balloon pump, acute coronary syndrome and shock. The mean duration of mechanical ventilation before extubation was 2.3±3.1 days. The overall mortality rate of studied patients was 26% with coronary artery bypass grafting surgery as the most common cause. Conclusions: During 2012 and 2013, the extubation failure rate in the cardiac surgery ICU was 2.45%. The most common causes of extubation failure in this setting were hypoxemia and pneumonia. Moreover, the most common risk factors for re-intubation were diabetes mellitus and renal failure.
机译：背景：拔管失败率是评估重症监护病房（ICU）护理质量的标准之一，拔管失败率较高或较低分别指示患者较长的机械通气或不适当的断奶标准。本研究的目的是评估2012-2013年大不里士·沙希德·马达尼医院心脏外科重症监护病房的拔管失败率和原因。方法：在2012-2013年期间的一项横断面研究中，研究了所有接受ICU心脏手术后插管的成年患者（18岁以上），并在插管后72小时内重新插管。结果：总共31例患者符合纳入标准。一年中拔管失败率为2.45％。拔管失败的原因是低氧血症，心肺骤停，败血症，急性肾功能衰竭，再次手术，休克，急性呼吸窘迫综合征，肺炎，癫痫发作，意识水平下降，大量分泌物和剧烈躁动。再次插管的危险因素包括慢性阻塞性肺疾病，糖尿病，肾衰竭，心力衰竭，ARDS，肺炎，主动脉内球囊泵，急性冠状动脉综合征和休克。拔管前平均机械通气时间为2.3±3.1天。以冠状动脉旁路移植术为最常见原因，研究患者的总死亡率为26％。结论：2012年和2013年，心脏手术ICU的拔管失败率为2.45％。在这种情况下，拔管失败的最常见原因是低氧血症和肺炎。此外，再次插管的最常见危险因素是糖尿病和肾衰竭。

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