Volume 26, Issue 1 (4-2018)                   Avicenna J Nurs Midwifery Care 2018, 26(1): 33-39 | Back to browse issues page


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Ghanbari A, Mohammad Ebrahimzadeh A, Paryad E, Atrkarroshan Z, Mohammadi M. Factors Affecting the Duration of Weaning from Mechanical Ventilation Based on Burn Scale in the Intensive Care Units. Avicenna J Nurs Midwifery Care 2018; 26 (1) :33-39
URL: http://nmj.umsha.ac.ir/article-1-1677-en.html
1- Associate Professor, Department of Nursing (Medical-surgical), SDHRC, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
2- Department of Nursing (Critical Care), The Heart Hospital of Doctor Heshmat, Guilan University of Medical Science, Rasht, Iran , Aidame64@Gmail.com
3- Department of Nursing, Instructor, SDHRC, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
4- Assistant professor, Biostatistics, School of medicine, Guilan University of Medical Science, Rasht, Iran
5- Department of Nursing (Critical Care), Guilan province the Social Security Organization, Rasoul Akram Hospital, Rasht,Iran
Abstract:   (8477 Views)

Introduction: Mechanical ventilation has been one of the most common forms of patients’ medical treatment in intensive care unit    and several factors affect the preparation of patients for weaning the mechanical ventilation. This study aimed at determining factors that have an impact on the duration of mechanical ventilation weaning.  
Methods: In this sectional -analytical study, 65 ICU patients who required mechanical ventilation for more than 72 hours were selected by convenience sampling. Patients with Burns Wean Assessment Program tools were studied in three shifts. Patient's age, sex, the reason for connecting them to mechanical ventilation, the level of consciousness based on the Ramsay sedation scale, and duration of mechanical ventilation were recorded before weaning.  The results were analyze through descriptive statistics and an independent t-test using SPSS 22.
 Findings: The average duration of weaning the mechanical ventilation using Burns Wean Assessment Program was 111/75±33/46.  The results, in addition, showed that confounding factors of sex (P=0/03) and Ramsay sedation scale score (P=0/0001) had a significant effect on the duration of mechanical ventilation, but age (p=0/2) and the reason for connecting them to mechanical ventilation (P=0/319) had no significant effect on the duration of mechanical ventilation.
Conclusion:  To wean the mechanical ventilation from the patients, some factors such as age and the level of consciousness – also in applying measurement devises for these variables- should be considered.

Persian Full-Text [PDF 321 kb]   (1502 Downloads)    
Type of Study: Original Research | Subject: Nursing
Received: 2017/02/9 | Accepted: 2017/06/6 | Published: 2017/07/17

References
1. Yazdannik AR, Salmani F, Irajpour AR, Abasi S. Effect of the Nurse-directed Weaning Readiness Assessment on the Duration of Mechanical Ventilation: A Randomized Clinical Trial. Qom Univ Med Sci J. 2013;7(4):89-94.
2. Radhakrishnan M, Ghosh I, Dash HH. Evaluation of an indigenous ventilator for weaning in intensive care unit. J Anaesthesiol Clin Pharmacol. 2007;23(3):297-302.
3. McLean SE, Jensen LA, Schroeder DG, Gibney NRT, Skjodt NM. Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program. Am J Crit Care. 2006;15(3):299-309. [PubMed]
4. Ely EW, Meade MO, Haponik EF, Kollef MH, Cook DJ, Guyatt GH, et al. Mechanical Ventilator Weaning Protocols Driven by Nonphysician Health-Care Professionals Evidence-Based Clinical Practice Guidelines. Chest. 2001;120(6):454S-63S. [DOI] [PubMed]
5. Mokhtari M, Saadat Niaki A, Rashidi MF. A Retraining Study on Mortality Patterns in Patients with Joint Illness in General ICU. Journal of Iranian Society Anaesthesiology And Intensive Care. 2004;25(45):26-34.
6. Kaplow R. Critical care nursing: synergy for optimal outcomes. Massachusetts: Jones & Bartlett Publishers; 2007.
7. Monaco F, Drummond G, Ramsay P, Servillo G, Walsh T. Do simple ventilation and gas exchange measurements predict early successful weaning from respiratory support in unselected general intensive care patients? Br J Anaesth. 2010;105(3):326-33. [DOI] [PubMed]
8. Soran A, Chelluri L, Lee KKW, Tisherman SA. Outcome and quality of life of patients with acute pancreatitis requiring intensive care. J Surg Res. 2000;91(1):89-94. [DOI] [PubMed]
9. Chaiwat O, Sarima N, Niyompanitpattana K. Protocol-directed vs. physician-directed weaning from ventilator in intra-abdominal surgical patients. J Med Assoc Thai. 2010;93(8):930-6. [DOI]
10. Burns SM, Fisher C, Earven Tribble SS, Lewis R, Merrel P, Conaway MR, et al. Multifactor clinical score and outcome of mechanical ventilation weaning trials: Burns Wean Assessment Program. American journal of critical care : an official publication. Am J Crit Care. 2010;19(5):431-9. [DOI] [PubMed]
11. Burns SM, Fisher C, Tribble SE, Lewis R, Merrel P, Conaway MR, et al. The relationship of 26 clinical factors to weaning outcome. American journal of critical care : an official publication. Am J Crit Care. 2012;21(1):52-8. [DOI] [PubMed]
12. Khamiees M, Raju P, DeGirolamo A, Amoateng-Adjepong Y, Manthous CA. Predictors of extubation outcome in patients who have successfully completed a spontaneous breathing trial. Chest. 2001;120(4):1262-70. [DOI] [PubMed]
13. Carson SS, Bach PB, Brzozowski L, Leff A. Outcomes after long-term acute care: an analysis of 133 mechanically ventilated patients. Am J Respir Crit Care Med. 1999;159(5):1568-73. [DOI] [PubMed]
14. Blackwood B, Alderdice F, Burns K, Cardwell C, Lavery G, O’Halloran P. Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients: Cochrane systematic review and meta-analysis. BMJ. 2011;342:c7237. [DOI] [PubMed]
15. Knebel AR, Shekleton ME, Burns S, Clochesy JM, Hanneman SK, Ingersoll GL. Weaning from mechanical ventilation: concept development. Am J Crit Care. 1994;3(6):416-20. [PubMed]
16. Plangwan LR. The Effects of Providing Information and Instilling Reassurance on Uncertainty in Weaning from Mechanical Ventilation [dissertation]. Bangkok Thailand: Mahidol University; 2004.
17. Mottahedian Tabrizi E, Tadrisi S, Mohammadyari A, Ebadi A, Mirhashemi S. Validity and reliability of Ramsy sedation scale in adult patients hospitalized in critical care units. IJCCN. 2010;3(1):15-6.
18. Epstein CD, Peerless JR. Weaning readiness and fluid balance in older critically ill surgical patients. Am J Crit Care. 2006;15(1):54-64. [PubMed]
19. Jalalian H, Aslani J, Panahi Z. Factors affecting the duration of mechanical ventilation device isolation of patients in intensive care units. Trauma Mon. 2009;14(3):163-8.

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