Comparison of extubation times between protocolized versus automated weaning systems after major surgery in the intensive care unit

dc.authoridYILDIRIM, İLKER/0000-0002-4245-1163
dc.authorwosidYILDIRIM, İLKER/JVN-4780-2024
dc.contributor.authorInal, Mehmet Turan
dc.contributor.authorMemis, Dilek
dc.contributor.authorYildirim, Ilker
dc.date.accessioned2024-06-12T11:17:14Z
dc.date.available2024-06-12T11:17:14Z
dc.date.issued2012
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground. Prolonged mechanical ventilation is associated with adverse clinical outcomes for critically ill patients. Objective. To assess the the extubation times of protocolised versus automated weaning systems in patients after major surgery in intensive care unit. Design. Retrospective analysis. Measurements and results. We analyzed 70 patients with major abdominal or pelvic surgery. Patients that were used Draeger Evita2 Dura for weaning process named as the C (control) group (n=35) and patients that were used Draeger Evita2 XL Smartcare/PS named as the SC group (n=35). A physician evaluate the patient every 5 or 10 minutes in group C. Gender, age, weight, operation time, operation type, the total volume of intravenous infusion, bleeding, total dose of propofol, fentanyl citrate, rocuronium during surgery and extubation time were all recorded. All side effects included reintubation, bleeding, stroke, death, postoperative myocardial infarction were all recorded. The partial oxygen pressure (Pa02) and partial carbondioxide pressure (PaC02) were recorded before and after extubation. Results. Demographic data and operative data were similar between groups (p>0.05). The extubation time was similar between groups (SC group versus C group: 191,14+/-79,1 min versus 188,29+/-51,47 min, p=0,534. There was significant decrease in arterial PO2 and increase in arterial PCO2 after extubation in all groups. No side effects were observed. Conclusion. In conclusion, although we found no differences between SmartCare and control groups, the evaluating of the patient increased the workload in the control group. We think that SmartCare decreased the workload. Thus, it can be recommended for weaning process of patients after major surgery in intensive care unit.en_US
dc.identifier.doi10.22514/SV71.042012.4
dc.identifier.endpage27en_US
dc.identifier.issn1334-5605
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-84860998109en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage23en_US
dc.identifier.urihttps://doi.org/10.22514/SV71.042012.4
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24626
dc.identifier.volume7en_US
dc.identifier.wosWOS:000304326700004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherPharmamed Mado Ltden_US
dc.relation.ispartofSigna Vitaeen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectWeaningen_US
dc.subjectSmartcareen_US
dc.subjectProtocolsen_US
dc.subjectMechanical Ventilationen_US
dc.subjectControlled-Trialen_US
dc.subjectMulticenteren_US
dc.titleComparison of extubation times between protocolized versus automated weaning systems after major surgery in the intensive care uniten_US
dc.typeArticleen_US

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