Zedan, M., Ayoub, A., Hegazy, A. (2019). Study of Patient Ventilator Dyssynchrony, Causes and Effect on Weaning in Mechanically Ventilated Patient in Respiratory Intensive Care Unit, Observational Study. The Egyptian Journal of Hospital Medicine, 74(5), 1031-1035. doi: 10.21608/ejhm.2019.26350
Moustafa Abd El Hafez Zedan; Abdalla Soliman Ayoub; Ameen A Hegazy. "Study of Patient Ventilator Dyssynchrony, Causes and Effect on Weaning in Mechanically Ventilated Patient in Respiratory Intensive Care Unit, Observational Study". The Egyptian Journal of Hospital Medicine, 74, 5, 2019, 1031-1035. doi: 10.21608/ejhm.2019.26350
Zedan, M., Ayoub, A., Hegazy, A. (2019). 'Study of Patient Ventilator Dyssynchrony, Causes and Effect on Weaning in Mechanically Ventilated Patient in Respiratory Intensive Care Unit, Observational Study', The Egyptian Journal of Hospital Medicine, 74(5), pp. 1031-1035. doi: 10.21608/ejhm.2019.26350
Zedan, M., Ayoub, A., Hegazy, A. Study of Patient Ventilator Dyssynchrony, Causes and Effect on Weaning in Mechanically Ventilated Patient in Respiratory Intensive Care Unit, Observational Study. The Egyptian Journal of Hospital Medicine, 2019; 74(5): 1031-1035. doi: 10.21608/ejhm.2019.26350
Study of Patient Ventilator Dyssynchrony, Causes and Effect on Weaning in Mechanically Ventilated Patient in Respiratory Intensive Care Unit, Observational Study
1Department of Chest disease, Faculty of Medicine, Al Azhar University, Cairo, Egypt
2Department of Internal Medicine, Faculty of Medicine, Al Azhar University, Cairo, Egypt
Abstract
Background: Obtaining the comfort in intensive care unit to patients is important. Patient-ventilator dyssynchrony is a big problem in respiratory ICU and when a chest physician facing it in ICU must be aware about causes and deleterious effects on the patients, so study of causes and its impact on weaning outcomes is very important. Aim of the work: was to study patient ventilator dyssynchrony, causes and effect on weaning in mechanically ventilated patients in respiratory ICU. Patients and Methods: Fifty patients were included in the study admitted at Sayed Galal, Al-Azhar University Hospital during period from May 2014 - December 2017 in RICU, all patients underwent the following ,Full history taking , Genral ,Local examinations, Monitoring for occurance of agitation, patient ventilator dyssynchrony, and duration of weaning, and observation for the cause of the problem. Exclusion criteria, shock patient with haemodynamic instability. Results:The diagnosis of cases 18 COPD, 9 pneumonia, 8 bronchectasis, 4 Ild (interstitial lung disease), 6 OHS(obesity hypoventilation syndrome) and 5 pulmonary edema. Patients with dyssncrony have more duration of weaning 5.5455+ .90453 days than patients without dyssnchrony have duration of weaning 3.8125+.83417 days with significant difference. And the dyssnchrony group have more duration of ICU stay time (days) with 9.8485+1.03444 days than the patients without dyssnchrony have duration of weaning 8.0625+.85391 days with significant difference . Conclusion:Patient ventilator asynchrony occurs frequently, it is sensitive to ventilator settings and artificial airway problem, increased secretions, bronchospasm, alteration in body posture and seems to be associated with prolongation of weaning time.
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