Efficacy of Weaning Protocol in Medical Intensive Care Unit of Maharat Nakhon Ratchasima Hospital
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Abstract
The endotracheal tube insertion with ventilator support may induce complication especially lower respiratory tract infection. Rapidly effective weaning ventilator by using weaning protocol may have a major role to decrease complications and duration of endotracheal tube insertion for improving patients care. Objective: To compare duration of endotracheal tube insertion of all patients in medical intensive care unit (7 L) between 1st October 2006-31st May 2007 (before using weaning protocol, group 1) and 1st April 2007-30th September 2007 (after using weaning protocol, group 2) Result: There were 310 patients in this study (group 1/ group 2, 141/169) comprising 82 males (58%)/ 103 (61%) and were 59 females (42%)/ 66 (39%). Means duration of endotracheal insertion were 4.33±7.85 days, 3.01±6.80 days (P=0.105). Lengths of stay in ICU of two groups were 6.82±7.46, 5.05±6.91 days (P=0.031). Rates of re-intubation were 4.2%, 2.3% (P=0.349). Rates of ventilator associated pneumonia were 12.7%, 8.8% (P=0.290). Mortality rates were 3.5%, 21% (P<0.05). Rates of acute renal failure were 29.7%, 40% (P=0.019) Conclusion: There was no significant difference of duration of endotracheal tube insertion between two groups but the using weaning protocol group had shorter duration of length of stay in ICU significantly.
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