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- W2897625446 abstract "Background: Mechanical ventilation is the life sustaining modality, used until the patient is deemed fit for extubation and predicting extubation failure or re-intubation is one of the most challenging. The literature on predictors of successful extubation in head injured patients is very scarce. Hence, we planned to determine the weaning parameters which may predict re-intubation in these patients. Materials and Methods: In this observational study, we present three (3) months data of patients admitted to our neurocritical care unit (NCCU), who were extubated after achieving the standard criteria for tracheal extubation. Data on improvement of Glasgow Coma Scale (GCS) score, duration of mechanical ventilation, PaO2/FiO2 ratio, hemoglobin, tolerance to spontaneous breathing trials, adequate cough reflex, tracheal secretions and frequency of suctioning were recorded. Pre-extubation criteria such as associated co-morbidities, nature of injury, post-surgical complications (like hematoma, CSF leak, and electrolyte imbalance) were analyzed. Results: Seventy (70) patients who met the inclusion criteria were analyzed; of which 9 (12.8%) patients required re-intubation. Postoperative hydrocephalus, infarction, and impaired gag reflex were found to be the risk factors for re-intubation in these cases (P < 0.05). Most of these patients required percutaneous tracheostomy except two with ventilatory failure who were successfully extubated at the second attempt. Conclusion: Our preliminary study suggested that post-procedural neurosurgical complications and impaired gag reflex were the risk factors for re-intubation in head-injured patients. However, a larger study with big sample size may be needed to substantiate these findings." @default.
- W2897625446 created "2018-10-26" @default.
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- W2897625446 date "2014-04-01" @default.
- W2897625446 modified "2023-09-22" @default.
- W2897625446 title "18. Extubation failure in head-injured patients: An analysis of three-months data" @default.
- W2897625446 doi "https://doi.org/10.1055/s-0038-1646097" @default.
- W2897625446 hasPublicationYear "2014" @default.
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