Why T Tube Did Not Impair Arterial Oxygenation Essay
1454 Words6 Pages
When T-tube and CPAP were compared in the Study (108), it showed that use of T-tube did not impair arterial oxygenation. Further it showed that extubation with T-tube could be superior to CPAP when the pattern of change in PaO2/FiO2 was taken into consideration to predict extubation outcome. The PaO2/FiO2 showed an initial decline and then increasing trend in case of T-tube whereas it had a declining trend in CPAP group. Study by Cekmen N et al. had contrary result showing the number of unsuccessful weaning being higher in T-tube group as compared to CPAP group. However the hemodynamic parameters and arterial blood gases analysis was comparable within and in between CPAP and T-tube group (113).
K Manjush et al. did a prospective, observational study on 75 patients to evaluate weaning trials in relation with mean arterial pressure, RR, arterial blood gases and successful extubation. The comparison was done between PS, T-tube and CPAP. Based on their study it was concluded that the observed parameters were comparable with no significant difference between the effects of PS, CPAP and T-tube trials (p>0.05) (114).
However there appears to be no difference in both the percentage of patients who pass SBT or the percentage of patients successfully extubated when a T-tube is compared with the use of low level of PSV such as 5-7 cm H2O (63,115).
In a large multicenter randomized controlled trial, although the proportion of patients failing the SBT with T-tube was higher that
To understand whether the actions carried out was rational or whether it did more harm or good, it is necessary to review the development of RDS in a preterm baby.
Neonatal RDS is a condition of increasing respiratory distress commencing at or shortly after birth (BAPM-2006). It’s the single most important cause of morbidity
Chronic Respiratory Failure
Shelby Lynch
Date of Care: 03/19/2013
Chamberlain College of Nursing
NR 340: Critical Care
|Assessment |Medical/Nursing Diagnoses |Treatment |
|Brief review of the patient |Medical Diagnoses: |Therapeutic Modalities
that may be seen with an infection. Sepsis is the presence of the systemic inflammatory response syndrome (SIRS) with evidence of infection. As the bacteria invade the bloodstream, they release endotoxins that damage the endothelial cell lining and impair the vascular system, coagulation mechanism, and immune system. These endotoxins also trigger the immune and inflammatory responses, which results in the activation of macrophages and CD4 cells that release proinflammatory cytokines to create a systemic
PART ONE Medical-Surgical Cases
1
1 Cardiovascular
Cardiovascular Disorders
Case Study 1 Heart Failure
Difficulty: Beginning
Setting: Emergency department, hospital
Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life
X Scenario
M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure
(HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come
to the hospital today because I