000			03165cam a2200349 a 4500
003			EG-GiCUC
005			20250223031457.0
008			160419s2015 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.06.Ph.D.2015.Ya.R
100	0		_aYasser Mehrez Elsarem
245	1	0	_aRole of non invasive ventilation in decreasing length of postextubation ICU stay / _cYasser Mehrez Elsarem ; Supervised Hoda Ali Abouyoussef , Amany Atef Elkarim Abouzeid , Raef Hosny Emam
246	1	5	_aدور التنفس الصناعي الغير نافذ في تقليل مدة البقاء بوحدة العناية المركزة عقب الفطام من جهاز التنفس الصناعي
260			_aCairo : _bYasser Mehrez Elsarem , _c2015
300			_a149 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Chest Diseases and Tuberculosis
520			_aRationale: Respiratory failure after extubation and reintubation is associated with increased ICU stay, morbidity and mortality. Objectives: To assess whether early application of non invasive ventilation, immediately after extubation, is effective in decreasing length of postextubation intensive care unit stay in patients with respiratory failure type II. Methods: A prospective randomized controlled trial was conducted in 56 mechanically ventilated patients who tolerated a spontaneous breathing trial after recovery from the acute episode. Patients were randomly allocated after extubation to receive noninvasive ventilation for 24 h (n = 26), or standard medical treatment with oxygen therapy (control group, n = 26). Measurements and Main Results: Outcome variables in this study were, Trial duration was significantly shorter in NIV group than SMT group, and ICU stay was shorter in NIV group than SMT group but did not reach the level of significance. Respiratory failure and reintubation were less frequent in NIV group than SMT group but did not reach the level of significance (3 NIV versus 8 SMT, P =0.205). The time from extubation to respiratory failure and reintubation was longer in NIV group than SMT group and did not affect the mortality which was more frequent in SMT group than NIV group but did not reach the level of significance so this supports the use of NIV early after extubation in all patients regardless of risk for respiratory failure. Conclusions: it was concluded that early use of non-invasive ventilation after extubation decreased ICU stay, diminished risk of respiratory failure after extubation and reduced mortality in patients with respiratory failure type II
530			_aIssued also as CD
653		4	_aDecreasing length
653		4	_aInvasive ventilation
653		4	_aPostextubation ICU stay
700	0		_aAmany Atef Elkarim Abouzeid , _eSupervisor
700	0		_aHoda Ali Abouyoussef , _eSupervisor
700	0		_aRaef Hosny Emam , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSoheir _eCataloger
942			_2ddc _cTH
999			_c56083 _d56083