Mortality Associated Factors of Patients with Mechanical Ventilation Treated at the Intensive Care Unit of a Second Level Hospital at Piedras Negras Coahuila Mexico

Introduction: The mechanical ventilation is the cornerstone of treatment for patients with acute respiratory failure and is one of the pivotal therapies in critical care medicine. The epidemiology of mechanical ventilation in México is scarce and usually a transpolated of the information in high specialty centers. The mechanical ventilation has the aim of assisting in the elimination of CO2 (carbon dioxide) and / or favoring the adequate exchange of oxygen while the patient is unable to do so or due to conditions external to the respiratory system. Quality indicators of attention are a quantitative measure that are used to assess important aspects of clinical practice. Objective: Describe the epidemiology and mortality factors in mechanically ventilated patients treated at second level ICU in Piedras Negras, Coahuila México. Material and Methods: retrospective study from December 2016 to December 2019 all patients treated with MV. We collected general demographic characteristics, quality indicators and complications, severity of disease and mortality. Results: 164 patients were enrolled. Female 54.8%, main diagnoses Sepsis 30.5%, and DKA 13.4%, mean age 44.1 SD ± mean SOFA 7.2 SD ± 6.2, mean SAPS3 50.6 SD ± 20.2, ICU LOS 4.5 SD ± 5.1, Hospital LOS 11.7 SD ± 10.2 p<0.0001. ICU and Hospital mortality 14 % and 23.8%. The factors associated with ICU mortality were: Age, MV hours, Respiratory SOFA, and Hepatic SOFA and with Hospital mortality: Age, Neurological SOFA, Unstable at admission, SOFA and SAPS 3. Conclusions: MV is a primordial need of critical care patients, our mortality was reported lower than expected but quality of attention indicators most be improved in order to maintain this trend. This study has several limitations in population and applicability but contributes with primordial information about MV critical care patients treated at México.

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Tracheostomy

Mayo Clinic Critical and Neurocritical Care Board Review ◽

10.1093/med/9780190862923.003.0117 ◽

2019 ◽

pp. 850-854

Author(s):

Saba Ghorab ◽

David G. Lott

Keyword(s):

United States ◽

Mechanical Ventilation ◽

Critical Care ◽

Critically Ill ◽

Critically Ill Patients ◽

Prolonged Mechanical Ventilation ◽

The United States ◽

Critical Care Patients

Tracheostomy is a procedure where a conduit is created between the skin and the trachea. Tracheostomy is one of the most frequent procedures undertaken in critically ill patients. Each year, approximately 10% of critical care patients in the United States require a tracheostomy, most often for prolonged mechanical ventilation.

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Nonventilatory factors affecting noninvasive mechanical ventilation success in hypercapnic critical care patients

Critical Care ◽

10.1186/cc13453 ◽

2014 ◽

Vol 18 (Suppl 1) ◽

pp. P263

Author(s):

S Demir ◽

Y Aldag ◽

M Aydogdu ◽

G Gürsel

Keyword(s):

Mechanical Ventilation ◽

Critical Care ◽

Noninvasive Mechanical Ventilation ◽

Factors Affecting ◽

Critical Care Patients

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Nonpharmacological Interventions to Prevent Delirium: An Evidence-Based Systematic Review

Critical Care Nurse ◽

10.4037/ccn2015423 ◽

2015 ◽

Vol 35 (1) ◽

pp. 39-49 ◽

Cited By ~ 32

Author(s):

Ryan M. Rivosecchi ◽

Pamela L. Smithburger ◽

Susan Svec ◽

Shauna Campbell ◽

Sandra L. Kane-Gill

Keyword(s):

Systematic Review ◽

Mechanical Ventilation ◽

Critical Care ◽

Length Of Stay ◽

Adverse Effects ◽

Hospital Costs ◽

Evidence Based ◽

Inpatient Settings ◽

Stay Hospital ◽

Critical Care Patients

Development of delirium in critical care patients is associated with increased length of stay, hospital costs, and mortality. Delirium occurs across all inpatient settings, although critically ill patients who require mechanical ventilation are at the highest risk. Overall, evidence to support the use of antipsychotics to either prevent or treat delirium is lacking, and these medications can have adverse effects. The pain, agitation, and delirium guidelines of the American College of Critical Care Medicine provide the strongest level of recommendation for the use of nonpharmacological approaches to prevent delirium, but questions remain about which nonpharmacological interventions are beneficial.

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Early Critical Care Transthoracic Echocardiography Improves the Mortality of Patients Undergoing Mechanical Ventilation: Observational Data From Two Large Databases.

10.21203/rs.3.rs-58841/v1 ◽

2020 ◽

Author(s):

Xueshu Yu ◽

Hao Jiang ◽

Wenjing Chen ◽

Lingling Pan ◽

Zhendong Fang ◽

...

Keyword(s):

Mechanical Ventilation ◽

Critical Care ◽

Propensity Score ◽

Hospital Mortality ◽

Transthoracic Echocardiography ◽

Favourable Effect ◽

Research Database ◽

Mechanically Ventilated ◽

Mechanically Ventilated Patients ◽

Ventilated Patients

Abstract Background: Critical care transthoracic echocardiography (TTE) can quickly and accurately assess haemodynamic changes in ICU patients. However, it is not clear whether transthoracic echocardiography improves the prognosis of mechanically ventilated patients. In this study, we hypothesized that early critical care transthoracic echocardiography independently contributes to improvements in mortality in mechanically ventilated patients in the ICU.Methods: This was a retrospective study based on the Medical Information Mart for Intensive Care III (MIMIC-III) database and the eICU Collaborative Research Database (eICU-CRD). Patients undergoing mechanical ventilation for more than 48 hours were selected. The exposure of interest was early TTE. The primary outcome was in-hospital mortality. We used propensity score matching to analyse the association between early TTE and in-hospital mortality and sensitivity analysis, including the inverse probability weighting model and covariate balancing propensity score model, to ensure the robustness of our findings.Results: A total of 8862 patients undergoing mechanical ventilation were enrolled. The adjusted OR showed a favourable effect between the early TTE group and in-hospital mortality [MIMIC: OR 0.77, 95% CI (0.63–0.94), (P=0.01); eICU-CRD: OR 0.78, 95% CI (0.68–0.89), (P<0.01) ]. Furthermore, TTE was also associated with 30-day mortality in the MIMIC database [OR 0.74, 95% CI (0.6-0.92), P=0.01].Conclusions: Early application of critical care transthoracic echocardiography during mechanical ventilation is beneficial for improving in-hospital mortality. Further investigation with prospectively collected data is required to validate this relationship.

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Comparison of the Sequential Organ Failure Assessment (SOFA) and Quick SOFA Scores in Predicting in-Hospital Mortality among Adult Critical Care Patients with Suspected Infection

International Journal of Critical Care and Emergency Medicine ◽

10.23937/2474-3674/1510084 ◽

2019 ◽

Vol 5 (4) ◽

Author(s):

Said Mohammed A ◽

Siika Wangari-Waweru ◽

Mung'ayi Vitalis ◽

Shah Reena

Keyword(s):

Critical Care ◽

Hospital Mortality ◽

Sequential Organ Failure Assessment ◽

Organ Failure ◽

Suspected Infection ◽

Failure Assessment ◽

Critical Care Patients

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Respiratory and Gastrointestinal systems; friends or foes?

Journal of Mechanical Ventilation ◽

10.53097/jmv.10018 ◽

2021 ◽

Vol 2 (1) ◽

pp. 33-33

Author(s):

ehab daoud

Keyword(s):

Mechanical Ventilation ◽

Critical Care ◽

Gastrointestinal Tract ◽

Respiratory System ◽

Gastrointestinal Complications ◽

Critical Care Patients

The article by Obeidat andRandhawain this issue “Gastrointestinal complications in critical care patients and effects of mechanical ventilation on the gastrointestinal tract”1is a great reminder of this important topicand a must read for ICU clinicians. The interaction between the gastro-intestinal system and the respiratory system is a tight yet not fully understoodcomplex one, and unfortunately gets overlooked.

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