Can Gastric Tonometry be Used to Determine Weaning Failure?

2010 ◽  
Vol 1 (3) ◽  
pp. 55-59
Author(s):  
Omer Faruk Baysal ◽  
Ramazan Coskun ◽  
Hakan Buyukoglan ◽  
Murat Sungur ◽  
Muhammet Guven
Keyword(s):  
Gastric Tonometry ◽  
Weaning Failure

Splanchnic Hypoperfusion-Directed Therapies in Trauma: A Prospective, Randomized Trial

2005 ◽  
Vol 71 (3) ◽  
pp. 252-260 ◽  
Author(s):  
Stephen M. Cohn ◽  
Stephen M. Cohn ◽  
Orlando Kirton ◽  
Margaret Brown ◽  
S. Morad Hameed ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Injury Severity ◽  
Ischemia Reperfusion ◽  
Unit Group ◽  
Severe Trauma ◽  
Prospective Randomized Trial ◽  
Gastric Tonometry ◽  
Trauma Patients ◽  
Splanchnic Perfusion ◽  
Splanchnic Hypoperfusion

Splanchnic hypoperfusion as reflected by gastric intramucosal acidosis has been recognized as an important determinant of outcome in shock. A comprehensive splanchnic hypoperfusion-ischemia reperfusion (IRP) protocol was evaluated against conventional shock management protocols in critical trauma patients. The study was a prospective randomized trial comparing three therapeutic approaches to hypoperfusion after severe trauma in 151 trauma patients admitted to the intensive care unit. Group 1 patients received hemodynamic support based on conventional indicators of hypoperfusion. In group 2, resuscitation was further guided by gastric tonometry-derived estimates of splanchnic hypoperfusion and included more invasive hemodynamic monitoring and additional administration of colloid or crystalloid solutions, or inotropic support. Group 3 patients additionally received therapies specifically aimed at optimizing splanchnic perfusion and minimizing oxidant-mediated damage from reperfusion. The three groups were similar based on age, Injury Severity Score, and Acute Physiology and Chronic Health Evaluation II Scores. There were no statistically significant differences in mortality rates, organ dysfunction, ventilator days, or length of stay between any of the interventions. Techniques of optimization of splanchnic perfusion and minimization of oxidant-mediated reperfusion injury evaluated in this study were not advantageous relative to standard resuscitation measures guided by conventional or tonometric measures of hypoperfusion in the therapy of occult and clinical shock in trauma patients.

scholarly journals Noninvasive mechanical ventilation (NIMV) in weaning failure: could be an alternative approach?

Critical Care ◽  
10.1186/cc402 ◽  
1999 ◽  
Vol 3 (Suppl 1) ◽  
pp. P027
Author(s):  
A Esquinas ◽  
D González ◽  
A Carrillo ◽  
M Del Baño ◽  
M Rodríguez ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Noninvasive Mechanical Ventilation ◽  
Alternative Approach ◽  
Weaning Failure

51 RECENT ADVANCES IN GASTRIC TONOMETRY

Shock ◽  
1995 ◽  
Vol 3 (5) ◽  
pp. 16
Author(s):  
G. Gutierrez
Keyword(s):  
Gastric Tonometry ◽  
Recent Advances

Approach to Patients with Long-Term Weaning Failure

2000 ◽  
Vol 6 (3) ◽  
pp. 437-461 ◽  
Author(s):  
D SCHEINHORN ◽  
D CHAO ◽  
M STEARNHASSENPFLUG
Keyword(s):  
Weaning Failure

scholarly journals Gastric tonometry: in vivo comparison of saline and air tonometry in patients with cardiogenic shock

1998 ◽  
Vol 81 (5) ◽  
pp. 676-680 ◽  
Author(s):  
U Janssens ◽  
J Graf ◽  
K C Koch ◽  
P Hanrath
Keyword(s):  
Cardiogenic Shock ◽  
Gastric Tonometry

scholarly journals Product of driving pressure and respiratory rate for predicting weaning outcomes

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110100
Author(s):  
Ju Gong ◽  
Bibo Zhang ◽  
Xiaowen Huang ◽  
Bin Li ◽  
Jian Huang
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Rate ◽  
Spontaneous Breathing ◽  
Spontaneous Breathing Trial ◽  
Plateau Pressure ◽  
Driving Pressure ◽  
Failure Group ◽  
Rapid Shallow Breathing Index ◽  
Weaning Failure ◽  
Shallow Breathing

Objective Clinicians cannot precisely determine the time for withdrawal of ventilation. We aimed to evaluate the performance of driving pressure (DP)×respiratory rate (RR) to predict the outcome of weaning. Methods Plateau pressure (Pplat) and total positive end-expiratory pressure (PEEPtot) were measured during mechanical ventilation with brief deep sedation and on volume-controlled mechanical ventilation with a tidal volume of 6 mL/kg and a PEEP of 0 cmH2O. Pplat and PEEPtot were measured by patients holding their breath for 2 s after inhalation and exhalation, respectively. DP was determined as Pplat minus PEEPtot. The rapid shallow breathing index was measured from the ventilator. The highest RR was recorded within 3 minutes during a spontaneous breathing trial. Patients who tolerated a spontaneous breathing trial for 1 hour were extubated. Results Among the 105 patients studied, 44 failed weaning. During ventilation withdrawal, DP×RR was 136.7±35.2 cmH2O breaths/minute in the success group and 230.2±52.2 cmH2O breaths/minute in the failure group. A DP×RR index >170.8 cmH2O breaths/minute had a sensitivity of 93.2% and specificity of 88.5% to predict failure of weaning. Conclusions Measurement of DP×RR during withdrawal of ventilation may help predict the weaning outcome. A high DP×RR increases the likelihood of weaning failure. Statement: This manuscript was previously posted as a preprint on Research Square with the following link: https://www.researchsquare.com/article/rs-15065/v3 and DOI: 10.21203/rs.2.24506/v3

Impact of enteral feeding on gastric tonometry in healthy volunteers and critically ill patients

2001 ◽  
Vol 45 (5) ◽  
pp. 564-569 ◽  
Author(s):  
R. Rokyta Jr ◽  
I. Novák ◽  
M. Matějovič ◽  
P. Hora ◽  
M. Nalos ◽  
...  
Keyword(s):  
Healthy Volunteers ◽  
Critically Ill ◽  
Enteral Feeding ◽  
Critically Ill Patients ◽  
Gastric Tonometry

Gastric tonometry: effect of sucralfate on calculated intramural pH

1995 ◽  
Vol 39 (5) ◽  
pp. 666-670 ◽  
Author(s):  
J. Motsch ◽  
A. Bach ◽  
H. Böhrer ◽  
H. Schmidt ◽  
Th. Sghönau ◽  
...  
Keyword(s):  
Gastric Tonometry

scholarly journals Gastric tonometry in patients recovering from paracetamol overdose

Critical Care ◽  
10.1186/cc263 ◽  
1998 ◽  
Vol 2 (Suppl 1) ◽  
pp. P134
Author(s):  
A Rhodes ◽  
SM Gabe ◽  
SM Norris ◽  
J Wendon
Keyword(s):  
Paracetamol Overdose ◽  
Gastric Tonometry

scholarly journals Clinical evidence for respiratory insufficiency type II predicts weaning failure in long-term ventilated, tracheotomised patients: a retrospective analysis

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Friederike Sophie Magnet ◽  
Hannah Bleichroth ◽  
Sophie Emilia Huttmann ◽  
Jens Callegari ◽  
Sarah Bettina Schwarz ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Respiratory Insufficiency ◽  
Clinical Evidence ◽  
Type Ii ◽  
Weaning Failure
Sign in / Sign up

Export Citation Format

Share Document