![]() ![]() Patients who failed decannulation had a tracheostomy tube placed earlier and had a shorter stay in the referring acute care hospital. Decannulation was successful in 35% of patients at a median of 45 days following tracheostomy. 8 examined the process of decannulation in patients transferred to a long-term acute care hospital. Patients who are decannulated have better survival rates. Comparison between these studies is difficult because of differences in definitions of decannulation failure, lack of consistency in weaning and decannulation protocols, and differing patient characteristics. ![]() 7 report decannulation failure rate of 4.8%. More recently in a prospective study, Choate et al. 4ĭecannulation failure ranges from 2%, 5 in acute brain injury patients in rehabilitation facilities, to 32.4% 6 in patients with neuromuscular ventilator insufficiency (predominantly spinal cord injuries) admitted to a ventilator unit. 1, 2Įvidence-based assessments in the ventilator discontinuation process 3 suggest evaluation of cough strength in patients passing a spontaneous breathing trial, however this procedure has not yet moved into clinical practice.Įxtubation failure rate ranges from 10% to 20% of extubations and translates into higher mortality compared with successful extubation. ![]() Insufficient cough strength plays a major role in failed extubation/decannulation in patients with high level spinal cord injury, primary neuromuscular disorders or ICU-acquired weakness. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |