کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2652993 | 1139733 | 2013 | 8 صفحه PDF | دانلود رایگان |
SummaryObjectivesTo determine the feasibility of conducting a sedation wake-up trial (SWT) plus a spontaneous breathing trial (SBT) in critically ill trauma patients based on the ability to implement the combined intervention; to measure and describe patients’ physiological responses; and to maintain patient safety.MethodsA secondary analysis of the intervention group from a trial of 20 mechanically ventilated patients receiving SWT plus SBT in a trauma-intensive care unit.ResultsPatients passed 67% of the 39 SWTs performed; those who failed presented RASS scores of +1 and +2 (70%), tachycardia (15%) or ventilator asynchrony (15%). Eighteen patients tolerated their first SBT, and after the second SBT, more than half of the patients were discontinued from the mechanical ventilator. A significant increase from the beginning to the end of the SWT was found in heart rate (p = .021), respiratory rate (p = .043) and systolic blood pressure (p = .04). Although these measures increased significantly, their overall mean did not increase by 20%.ConclusionSWT plus SBT was well tolerated and successfully implemented. Our data showed that it is not necessary to withhold continuous-infusion analgesia during the SWT.
Journal: Intensive and Critical Care Nursing - Volume 29, Issue 1, February 2013, Pages 20–27