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《CHINESE JOURNAL OF TUBERCULOSIS AND RESPIRATORY DISEASES》 2000-04
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Sequential non-invasive following short-term invasive mechanical ventilation in COPD induced hypercapnic respiratory failure

WANG Chen; SHANG Mingyu;HUANG Kewu,et al. (Beijing Red Cross Chaoyang Hospital-Beijing Institute of Respiratory Medicine,Capital University of Medical Sciences,Beijing 100020,China )  
Objective To estimate the feasibility and the efficacy of early extubation and sequential noninvasive mechanical ventilation (MV) in COPD with exacerbated hypercapnic respiratory failure. Methods 22 intubated COPD cases with severe hypercapnic respiratory failure due to pulmonary infection (pneumonia or purulent bronchitis) were involved in the study. At the time pulmonary infection had been significantly controlled (resolution of fever and decrease in purulent sputum, radiographic infiltrations,and leukocytosis. We call the fime as Pulmonary Infection Control Window", PIC window) after the antibiotic and the comprehensive therapy, the early extubation was conducted and followed hy non-invasive MV via facial mask immediately in 11 cases (study group). Other 11 COPD cases with similar clinical characteristics who continuously received invasive MV after PIC window were used as control group. Results The groups had similar clinical characteristics and gas exchange,initially and at the time of PIC window. For study group and control group, the duration of invasive MV was (7.1 ± 2.9) vs (23 .0 ±14.0) days, P 0.01; the total duration of ventilatory support was (13 ±7) vs (23 ±14) days,P 0.05; the incidence of VAP were 0/11 vs 6/11, P 0.01; the duration of ICU stay was (13 ±7) vs (26 ±14) days, P 0.05, respectively. Conclusions In COPD patients requiring intubation and are for pulmonary infection and hypercapnic respiratory failure, early extubation followed by non-invasive MV initiated at the point of PIC window may significantly decrease the invasive and total durations of ventilatory support, the risk of VAP, and the duration of ICU stay.
【CateGory Index】: R563
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【References】
Chinese Journal Full-text Database 10 Hits
1 Chizhou People's Hospital,Anhui 247000,China SONG Qiu-ming,WEI Yu-ping,XU Xing;Therapeutic evaluation of three different connective modes of mechanical venti lation in patients with chronic obstructive pulmonary diseases (COPD) and acute respiratory failure(type Ⅱ)[J];Journal of Anhui Health Vocational & Technical College;2004-04
2 Qin Yong-ming , Zhang Xiao-jie The Third Bengbu Municipal People Hospital. Bengbu 233000;Curative Effect of BiPAP Ventilator for COPD with Type II Respiratory Failure Treatment[J];Anhui Journal of Preventive Medicine;2002-05
3 QIAN Zhao-xia,GAO Zhong-he (Department of Respiratory Diseases,Bengbu Third People's Hospital,Anhui 233000,China);Noninvasive mechanical ventilation for early pulmonary encephalopathy in the elderly[J];Journal of Bengbu Medical College;2005-01
4 Zhang Shu,Zhang Qi-lin(Deportment of respiration Shanghai No.7 People's Hospital);Analysis of the reasons in the treatment failure with noninvasive positive pressure ventilation for some patients with acute exacerbation of chronic obstructive pulmonary disease[J];Beijing Medical Journal;2008-12
5 LIU Zhengang LIU Jie WANG QiyanDepartment of Respirtory Disease,The Affiliated Wudi Hospital of Binzhou Medical University 251900;Analysis of treatment on patients who suffered from chronic obstructive pulmonary disease with type Ⅱ respiratory failure[J];Journal of Binzhou Medical University;2008-01
6 LONG Sheng-ze,QIN Zhi-qiang,HUANG Guo-lan,et al.(Guangxi People′s Hospital,Nannin,Guangxi 530021,China);Timing for sequential noninvasive following invasive mechanical ventilation in COPD patients with respiratory failure[J];Chongqing Medicine;2008-24
7 SU Jin, YOU Chang-xuan, CAI Shao-xi, WANG Xiao-yan, ZHU Shun-fang, LUO Ya-lingDepartment of Respiration, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China;Emergency management of respiratory failure by endotracheal intubation through the nose under the guidance of portable bedside fibrobronchoscope[J];Journal of First Military Medical University;2002-05
8 YANG Wenlin,WANG Lihua.Department of Respiratory Medicine,Baoshan Sub-Hospital,the First People' s Hospital of Shanghai,Shanghai 200940,Shanghai;Effects of sequential mechanical ventilation in chronic obstructive pulmonary disease patients with severe respiratory failure[J];Clinical Medicine;2008-03
9 Chen Huimin Zhang Yaping Sheng Qihui etc(Huzhou prefecture Central Hospital,Zhejiang Huzhou,313000);Applied study on effect of evidence-based nursing on the decision of extubation in patients with sequential mechanical ventilation[J];Journal of Nurses Training;2006-05
10 (Guangdong Hospital of traditional Chinese medicine,Guangzhou,Guangdong 510120,China) HAN Yun,LIN Yan-zhao;TCM Clyster Combined with Non-invasive Ventilation in Treating for Respiratory Failure in Acute Exacerbations of COPD[J];Journal of Fujian College of Traditional Chinese Medicine;2006-02
China Proceedings of conference Full-text Database 1 Hits
1 ;EVALUATION OF NIPPV IN WEANING OF IPPV FOR PATIENTS WITH AECOPDABSTRACT[A];[C];2008
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 Zhang Haiying,Shen Meifen(Neurosurgery department,The First affiliated Hospital of Soochow University,Suzhou 215006);Study on effect of negative pressure during suction on SPO2 for traumatic brain injury patients with tracheotomy[J];Journal of Nurses Training;2008-22
2 Ming Lan,Sang Jianzhong;Clinical observation of different kind of wetting agent for patients after tracheotomy[J];Journal of Nurses Training;2009-04
3 ;两种气道湿化方式对颅脑损伤气管切开患者的影响[J];Journal of Nurses Training;2010-10
4 ZENG Dingfen,ZHANG Liping,TAN Xiaohui;Research Progress in Respiratory Complications in Mechanically Ventilated Patients and Nursing Care[J];Journal of Nursing Science;2008-20
5 ZUO Siqin;Effect of Continuous Tiny Spray Inhalation by Atomizer[J];Journal of Nursing Science;2009-08
6 ZOU Shi-hai,ZHOU Rui~*,CHEN Ping,LUO Hong,XIANG Xu-dong,L You-di,ZHU Lan-yan(Department of Respiratory Medicine,Second Xiangya Hospital,Central South University,Changsha 410011,China);Application of sequential noninvasive following invasive mechanical ventilation in COPD patients with severe respiratory failure by investigating the appearance of pulmonary-infection-control-window[J];Journal of Central South University(Medical Sciences);2006-01
7 ;重型破伤风病人气道开放后持续湿化的护理体会[J];Journal of Clinical Nursing;2006-04
8 CHEN Lin,CAI Ting, YE Zhen Yue, et al. Ningbo No.2 Hospital, Ningbo 315010,China;Effect of sequential non-invasive following short-term invasive mechanical ventilation on COPD patients with severe respiratory failure[J];Modern Practical Medicine;2003-04
9 HE Lan,FU Xiu-hua(Department of Respiratory,The Affiliated Hospital of Inner Mongolia Medical College,Huhhot 010050 China);Research on The Therapy of Sequential Non-invasive Following Invasive Uechanical Ventilation in Chronic Obstructive Pulmonary Disease[J];Inner Mongolia Medical Journal;2008-12
10 LIANG Feng-lan(Xinhui People's Hospital of Jiangmen,Guangdong Jiangmen 529100,China);Application of Artificial Airway Continuous Oxygen Humidification and Atomization[J];Hebei Medicine;2010-02
【Co-references】
Chinese Journal Full-text Database 10 Hits
1 Qin Yong-ming , Zhang Xiao-jie The Third Bengbu Municipal People Hospital. Bengbu 233000;Curative Effect of BiPAP Ventilator for COPD with Type II Respiratory Failure Treatment[J];Anhui Journal of Preventive Medicine;2002-05
2 Yu Xuezhong;Zhao Xiangyi;Zhou Yushu;et al(Emergency Departmert,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Beijing 100730);Influences of BiPAP ventilation therapy on respiratory and circulatory system in patients with COPD complicating respiratory failure[J];BEIJING MEDICAL JOURNAL;1999-03
3 Hu Shangji, Yao Tianjiao, Zhu Huijuan(Department of Respiration,Beijing Anzhen Hospital, Beijing 100029);A application of nasotracheal and mechanical ventilation in treating cor pulmonale patients complicated with respiratory failure[J];BEIJING MEDICAL JOURNAL;1998-01
4 WAN Jing-hua, ZHANG Xiao-lian, XIN Shan-lu(Medical college of Wuhan university of science and technology, Hubei Wuhan 430000, China);THE INFLUENCE OF POLYMERIC MATERIALS ON MOUSE IMMUNITY FUNCTION[J];Journal of Chengde Medical College;2005-03
5 LI Xin-ke, ZHAO Wei-he (Ningbo Development Zone Centre Hospital. Ningbo, Zhejiang 315800, China);The treatment of acute cardiogenic pulmonary edema with noninvasive positive pressure ventilation[J];Chongqing Medical Journal;2005-04
6 ZHU Liang gang, HANG Jun biao, CHE Jia ming, QIU Wei cheng, CHEN Zhong yuan (Department of Cardio thoracic Surgery, Ruijin Hospital,the Second Shanghai Medical University,Shanghai 200025,China);The use of early enteral nutrition in post-operative patients with esophageal or cardiac cancer[J];Parenteral & Enteral Nutrition;2002-03
7 GU Bao chun, XIN Rui, WEN Qiang, YANG Zi li, YANG Chun hua, MAI Yue qiang, WU Heng yi (Research Institute of Critical Ill, ICU of Guangzhou General Hospital of Guangzhou Command, PLA, Guangzhou 510010, Guangdong, China);The application of early enteral nutrition in critical ill patients[J];Parenteral & Enteral Nutrition;2004-01
8 WEI Xiao Dong, ZOU Liang Jian *, CHEN He Zhong, ZHAO Feng, XU Zhi Yun (Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433,China);Comparison of left ventricular function between patients early after on-and off-pump coronary artery bypass grafting[J];Academic Journal of Second Military Medical University;2003-08
9 LIAO Xiu qing, LI Qi, LIN Ke xiong, ZHANG Qiao, WANG Chang zheng, QIAN Gui sheng (Research Institute of Respiratory Diseases, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China);Non-invasive positive pressure ventilation for early treatment of respiratory failure due to exacerbation of chronic obstructive pulmonary disease: A random controlled trial[J];Acta Academiae Medicinae Militaris Tertiae;2004-08
10 SU Jin, YOU Chang-xuan, CAI Shao-xi, WANG Xiao-yan, ZHU Shun-fang, LUO Ya-lingDepartment of Respiration, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China;Emergency management of respiratory failure by endotracheal intubation through the nose under the guidance of portable bedside fibrobronchoscope[J];Journal of First Military Medical University;2002-05
China Proceedings of conference Full-text Database 1 Hits
1 ;"Indian Syncretism" and "Pan-Indianism" of Native American Music[A];[C];2005
【Secondary References】
Chinese Journal Full-text Database 10 Hits
1 Chizhou People's Hospital,Anhui 247000,China SONG Qiu-ming,WEI Yu-ping,XU Xing;Therapeutic evaluation of three different connective modes of mechanical venti lation in patients with chronic obstructive pulmonary diseases (COPD) and acute respiratory failure(type Ⅱ)[J];Journal of Anhui Health Vocational & Technical College;2004-04
2 The First People's Hospital of Hefei, Hefei, 230061, Anhui ZHANG Chun-mei;Application of nebulization in treatment of respiratory disease[J];Journal of Anhui Health Vocational & Technical College;2008-01
3 Qin Yong-ming , Zhang Xiao-jie The Third Bengbu Municipal People Hospital. Bengbu 233000;Curative Effect of BiPAP Ventilator for COPD with Type II Respiratory Failure Treatment[J];Anhui Journal of Preventive Medicine;2002-05
4 Xu Zhong , Huang Dongjian , Tang Xinxing ,et al the Secondary People' s Hospital of Guangzhou , Guangzhou 510150;Companson of two weaning mechanical ventilation modes in COPD patients[J];Anhui Medical Journal;2005-05
5 Li Xiu,Chen Ruojing,Wu Zhufeng,et alDepartment of Respiratory Medicine,the First People's Hospital of Hefei 230061;Observation on the Effect of Type Ⅱ Respiratory Failure from COPD Treated by BiPAP Breathing Machine[J];;2006-03
6 YANG Wen-Lin,WANG Li-Hua,WANG Hai-Feng (Department of Respiratory Medicine,Baoshan Sub-Hospital,Shanghai First People's Hospital,Shanghai 200940,China);A retrospective analysis on common causes of failure of noninvasive positive pressure ventilation in patients with respiratory failure[J];Anhui Medical and Pharmaceutical Journal;2008-06
7 QIAN Zhao-xia,GAO Zhong-he (Department of Respiratory Diseases,Bengbu Third People's Hospital,Anhui 233000,China);Noninvasive mechanical ventilation for early pulmonary encephalopathy in the elderly[J];Journal of Bengbu Medical College;2005-01
8 WANG Jun-yan(Department of Hospital Infection Administration,Chaohu Second People′s Hospital,Chaohu Anhui 23800,China);Nosocomial infections:Investigation and analysis of 2058 cases[J];Journal of Bengbu Medical College;2009-01
9 QIAN Zhao-xia1,JING Xue-ying2,FANG Chen1,GAO Zhong-he1(1.Department of Respiratory Diseases,2.Department of Cardiology,Bengbu Third People′s Hospital,Bengbu Anhui 233000,China);Therapic effect of noninvasive positive pressure ventilation in treatment of severe acute cardiogenic pulmonary edema[J];Journal of Bengbu Medical College;2009-03
10 Zhu Jinghui, Li Zhe Second People Hospital of Yuyao City, Zhejiang Province(315400);Application of Bed Fibre Bronchial Microscope Technology in ICU Artificial Air-path Management[J];Journal of Zhejiang University of Traditional Chinese Medicine;2007-03
China Proceedings of conference Full-text Database 2 Hits
1 Zhang Qian,Lv Xia,Zhou Hourong,Huang Xiaomo,Yang Xiulin,Guo Jun.The emergency department of Guizhou provincial hospital,Guiyang,550002,China;The Clinical Study for 408 Respiratory Failure Patients with Emergency Mechanical Ventilation in Emergency Medicine[A];[C];2008
2 ZHOU Sheng-zhi LI Ai-min WANG Yong-feng FENG Xin-lei LI Zhen-fu. The emergence department of Yi-shui Centre Hospital (Yi-shui,Shandong,276400);The Application of Mechanical Ventilation Companied with Ti-Ni Shapememory Alloy Embracing Fixator in the Treatment of Severe Multiple Fractures in Ribs[A];[C];2008
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