COPD complicated by respiratory failure in patients with type Ⅱ withdraw ventilator care.docVIP

 PAGE \* MERGEFORMAT 12 COPD complicated by respiratory failure in patients with type Ⅱ withdraw ventilator care [Abstract] Objective To investigate the chronic obstructive pulmonary disease (COPD) complicated by respiratory failure type Ⅱ after the withdrawal of ventilator care points. Methods A retrospective study of such patients in our hospital emergency ICU taken offline before the effective measures to spontaneous breathing trials (SBT) for off-line value, and after weaning to take care of a variety of ways. Results The 65 patients in the intensive care adopted after the weaning success of weaning, and transferred to the Department of Respiratory Medicine for further treatment, was discharged after improvement. 2 cases due to respiratory muscle fatigue, 3 cases of ventilator-associated pneumonia (VAP) re-application of non-invasive ventilation in the treatment, after three cases of successful off-line. In this group 2 patients died. Conclusion of effective airway management, the correct spontaneous breathing trials, early nutritional support, psychological counseling, avoid tranquilizers and muscle relaxants is the application of COPD complicated by respiratory failure type Ⅱ necessary after the withdrawal of ventilator-care measures. [Keywords:] Chronic obstructive pulmonary disease; respiratory failure; mechanical ventilation; Care January 2002 ~ January 2006 in our hospital emergency ICU admissions of chronic obstructive pulmonary disease (COPD) complicated by respiratory failure in patients with type Ⅱ 85 cases, post-weaning through effective care to achieve good results are reported as follows. A clinical data The group of 85 patients, male 68 cases, female 17 cases, aged 45 to 89 years, with an average 62.4 years of age. One line of 70 cases of invasive ventilation, mechanical ventilation shortest 8h, the longest 218.4h, an average of 18.4h. Combined with hypertension, coronary heart disease and other underlying diseases, 55 cases im