Respiratory Muscle Assessment in Predicting Extubation Outcome in Patients With Stroke

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dc.contributor.authorCastro, Antonio A. M. [UNIFESP]
dc.contributor.authorCortopassi, Felipe
dc.contributor.authorSabbag, Russell
dc.contributor.authorTorre-Bouscoulet, Luis
dc.contributor.authorKuempel, Claudia [UNIFESP]
dc.contributor.authorPorto, Elias Ferreira [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionAdventist Univ
dc.contributor.institutionFed Univ Pampa Unipampa
dc.contributor.institutionYale Univ
dc.contributor.institutionTufts Univ
dc.contributor.institutionInst Nacl Enfermedades Resp
dc.date.accessioned2016-01-24T14:27:31Z
dc.date.available2016-01-24T14:27:31Z
dc.date.issued2012-08-01
dc.description.abstractBackground: Patients with cerebral infarction often present impaired consciousness and unsatisfactory extubation. We aimed to assess the respiratory mechanics components that might be associated with the success of extubation in stroke patients.Methods: Twenty consecutive patients with stroke who needed mechanical ventilation support were enrolled. the maximal inspiratory pressure, gastric and the esophageal pressure (Pdi/Pdimax), minute volume, respiratory rate, static compliance, airway resistance, rapid and superficial respiration index (RSRI), inspiratory time/total respiratory cycle (Ti/Ttot), and PaO2/FiO(2) were measured.Results: the group who presented success to the extubation process presented 12.5 +/- 2.2 = days in mechan-ical ventilation and the group who failed presented 13.1 +/- 2 = days. the mean Ti/Ttot and Pdi/Pdimax for the failure group was 0.4 +/- 0.08 (0.36-0.44) and 0.5 +/- 0.7 (0.43-0.56), respectively. the Ti/Ttot ratio was 0.37 +/- 0.05 (0.34-0.41; p=0.0008) and the Pdi/Pdimax was 0.25 +/- 0.05 for the success group (0.21-0.28; p < 0.0001). A correlation was found between Pdi/Pdimax ratio and the RSRI (r = 0.55; p = 0.009) and PaO2/FiO(2) (r = -0.59; p = 0.005). Patients who presented a high RSRI (OR, 3.66; p = 0.004) and Pdi (OR, 7.3; p = 0.002), and low PaO2/FlO(2) (OR, 4.09; p = 0.007), Pdi/Pdimax (OR, 4.12; p = 0.002) and RAW (OR, 3.0; p = 0.02) developed mechanical ventilation extubation failure.Conclusion: Muscular fatigue index is an important predicting variable to the extubation process in prolonged mechanical ventilation of stroke patients. (C) 2012 SEPAR. Published by Elsevier Espana, S.L. All rights reserved.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Resp Dis, São Paulo, Brazil
dc.description.affiliationAdventist Univ, São Paulo, Brazil
dc.description.affiliationFed Univ Pampa Unipampa, Pampa, RS, Brazil
dc.description.affiliationYale Univ, Sch Med, Yale New Haven Hosp, New Haven, CT USA
dc.description.affiliationTufts Univ, New England Med Ctr, Sch Med, Boston, MA 02111 USA
dc.description.affiliationInst Nacl Enfermedades Resp, Dept Fisiol, Mexico City, DF, Mexico
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Resp Dis, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent274-279
dc.identifierhttp://dx.doi.org/10.1016/j.arbres.2012.04.010
dc.identifier.citationArchivos de Bronconeumologia. Barcelona: Ediciones Doyma S A, v. 48, n. 8, p. 274-279, 2012.
dc.identifier.doi10.1016/j.arbres.2012.04.010
dc.identifier.issn0300-2896
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35130
dc.identifier.wosWOS:000306989200003
dc.language.isospa
dc.publisherEdiciones Doyma S A
dc.relation.ispartofArchivos de Bronconeumologia
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectMechanical ventilationen
dc.subjectExtubationen
dc.subjectPdi/Pdimaxen
dc.subjectStrokeen
dc.subjectRespiratory musclesen
dc.subjectRespiratory mechanicsen
dc.titleRespiratory Muscle Assessment in Predicting Extubation Outcome in Patients With Strokeen
dc.typeinfo:eu-repo/semantics/article
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