A Comparison Of Tow Methods Of Planning And Experience-based Ventilator Weaning

Objectives Mechanical ventilation provides safe, effective and comfortable ventilationsupport to patients who with respiratory failure and respiratory insufficiency caused byvarious reasons. However, mechanical ventilation can cause a series of complications,and can also cause infection caused by the excitation intubation ventilator-associatedpneumonia. When human machine interface (HMI) uncoordinated, respiratory musclesmay also lead to patients disuse atrophy or ventilator fatigue, resulting in ventilator-dependent, resulting in offline difficult.This study compares with the difference betweenplanning ventilator weaning and experience-based ventilator weaning, to standardizeclinical offline process, higher rate of successful weaning, and reduce mechanicalventilation time.Methods166patients who were invasive mechanical ventilation (MV) were selected,from march2012to august2013in tangshan hebei united university affiliated hospitalcritical care medicine. According to the order of patients in ICU, it can be divided intotwo groups: patients who are in march2012to in december2012into the ICU are dividedinto groups of empirical offline experience group; January2013, to august2013, patientsare divided into planning groups of planning guidance to take off the unit;78cases inplanning group,88cases in the experience group, the two groups were compared beforeand after. The planning group was on the basic of spontaneous breathing test methodwhen weaning, and can choose T-tube or PSV weaning methods. The experience groupdecisions based on the clinical experience of clinicians. Patients were recorded personaldata in general, the planning t process data, data related complications. Each data forstatistical analysis, data comparison between the two groups using independent sample ttest, to compare rates between groups using χ2test, P＜0.05was considered statisticallysignificant.Results1The planning group offline before the MV start time and MV time wassignificantly shorter than the experience group (P＝0.000), and weaning success rate betterthan the experienc group (P＜0.05). ICU hospitalization costs of the planning group wassignificantly lower than the experienc group (P＜0.05). but the two groups in ICU lengthof stay, total hospital stay and ICU mortality, overall hospital mortality was no significantdifference in comparison (P＞0.05).2In mechanical ventilation complications, theincidence of VAP test group was significantly lower than the experienc group (P＜0.05),while tracheotomy, MV＞21days,re-intubation within48h and patient self-extubation wasno significantly difference between the two groups.Conclusions The method of planning ventilator weaning may shortened the duration ofmechanical ventilation,and reduced the hospitalization expenses, and reduced the relatedcomplications.