%0 Journal Article
%T Efeitos da aplica£¿£¿o de protocolo de desmame de ventila£¿£¿o mecanica em Unidade Coron¨¢ria: estudo randomizado
%A Piotto
%A Raquel Ferrari
%A Maia
%A Lilia Nigro
%A Machado
%A Maur¨ªcio de Nassau
%A Orrico
%A Suzana Perez
%J Revista Brasileira de Cirurgia Cardiovascular
%D 2011
%I Sociedade Brasileira de Cirurgia Cardiovascular
%R 10.1590/S0102-76382011000200011
%X objective: to compare mechanical ventilation weaning based on a protocol using the spontaneous breathing trial against mechanical ventilation weaning without a standardized protocol in heart patients. methods: prospective, open, randomized study. in 2006, 36 patients undergoing mechanical ventilation for over 24 hours were randomized into two groups: control group - eighteen patients whose mechanical ventilation weaning was performed according to the different procedures adopted by the multidisciplinary team; and experimental group - eighteen patients weaned according to previously established protocol. results: control group patients started the weaning process sooner than experimental group patients (74.7 ¡À 14.7 hours vs. 185.7 ¡À 22.9 hours, p=0.0004). however, after the experimental group patients were ready for weaning, the extubation was carried out more rapidly than in the control group (149.1 ¡À 3.6 min vs. 4179.1 ¡À 927.8 min, p < 0.0001) with significantly lower reintubation rates (16.7% vs. 66.7%, p = 0.005). conclusion: the use of a specific protocol based on the spontaneous breathing trial for mechanical ventilation weaning in heart patients had better outcomes than weaning carried out without a standardized protocol, with shorter weaning times and lower reintubation rates.
%K cardiology
%K intensive care units
%K ventilator weaning
%K respiration
%K artificial.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-76382011000200011&lng=en&nrm=iso&tlng=en