Αξιολόγηση των συστημάτων εκτίμησης βαρύτητας APACHE II και SOFA των βαρέων πασχόντων στην προσπάθεια απογαλακτισμού τους από τον μηχανικό αερισμό στην ΜΕΘ

Postgraduate Thesis uoadl:1310183 353 Read counter

Unit:
Κατεύθυνση Καρδιοαναπνευστική Αναζωογόνηση
Library of the School of Health Sciences
Deposit date:
2015-04-06
Year:
2015
Author:
Πολύδερα Βασιλική
Supervisors info:
Επίκουρη καθηγήτρια Ν. Ιακωβίδου
Original Title:
Αξιολόγηση των συστημάτων εκτίμησης βαρύτητας APACHE II και SOFA των βαρέων πασχόντων στην προσπάθεια απογαλακτισμού τους από τον μηχανικό αερισμό στην ΜΕΘ
Languages:
Greek
Summary:
Background: draw conclusions regarding to the assessment of severity scoring
systems: APACHE II and SOFA in critically ill, during their effort to wean from
mechanical ventilation during hospitalization in ICU.
Methods: took part in 28 mechanically ventilated critically ill patients aged
19- 93 years. The APACHE II and SOFA score were measured and recorded at
admission to the ICU and then daily only SOFA until it leaves patients from the
ICU.
Results: The scores of SOFA (admission, mean and max) show a positive
correlation with the APACHE II score and mortality APACHE II. The patients
remained in the ICU for a longer time, needed more time to wean from the
ventilator and extubate or breathe on their own through tracheostomy, and of
course these patients required undergo more SBT in order to achieve. Based on
the registration of SOFA: patients were in serious condition the day of
admission, but gradually the majority showed an improvement of SOFA (and thus
of their clinical condition) on all systems, with exception to respiratory
where patients were admitted with lower SOFA (mostly impairment: SOFA 1-2) and
did not appear to improve the day of extubation / tracheostomy, and the first
24 hours after successful weaning. Nevertheless, people with respiratory
dysfunction (SOFA respiratory 1-2) in their admission succeeded extubation
(with SOFA respiratory 2-3) and remained in spontaneous breathing until
discharged from ICU.
Conclusions: For successful weaning important is the length of stay of patients
in the ICU, and the number of spontaneous breathing trials that will need to
undergo in order to be released from the machine. However this study did not
show any correlation between the severity scoring systems, weaning and
spontaneous breathing trials.
Keywords:
Μechanical ventilation, APACHE II, SOFA, Weaning from mechanical ventilation, Retrospective study
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
168
Number of pages:
91
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