P \ 0.001, cardiovascular (p0.002, and liver failure (p0.009, the use of Opio Of (p0.04 PF-04217903 c-Met inhibitor and vasoactive drugs (p \ 0.001, and the duration of MV (p \ 0.001. It should be noted that respiration monitored variables in the multivariate model is not included were to be associated with mortality. CONCLUSION. risk factors for mortality within 28 days after the beginning of the MV were present conditions at the beginning of the MV (age, APACHE II, ALI / ARDS as a cause of MV, and gastro-intestinal failure and also the conditions that may need during the MV occurred confinement Lich aspects of patient management (ALI / ARDS, sepsis, renal failure, cardiovascular diseases and liver could improve the use of Opio and of vasoactive drugs, and the duration of MV.
Knowing the risk factors for mortality in patients, interventions, the MV can k to reduce the bad output for these patients. REFERENCE (p Esteban et al. JAMA 355 2002,287:345. thanksgiving XL880 c-Met inhibitor GRANT. PIBIC / CNPq / UFRGS, BIC / UFRGS, RESULTS Fipe / HcpA. COPD 0661 mechanical ventilation for patients in a general intensive care unit Ashish1 AJ Walker2 1Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, 2United United INTRODUCTION. COPD patients requiring mechanical ventilation are often associated with a nihilism about fulfilling its results, its intake can be limited to the intensive care unit. we will present pr data of COPD patients who were mechanically ventilated and mortality rates compared to the general Bev lkerung ITU. We have also analyzed the subgroup of patients who ben CONFIRMS mechanical ventilation after a failed attempt by the NIV.
METHODS. retrospective analysis of data from a database of education approval to h Pital big s ITU and hospital records from January ao T 2006 2007.Statistical significance was determined by Fisher’s exact test results. 822 patients in this period.63/822 were aerated (13% had a prime re-diagnosis of COPD exacerbation requiring mechanical ventilation . Mortality t was similar, independent ngig whether the admission was due to an exacerbation of COPD, 22.2% (14/63 or any other pathology 22.9% (169/759 (20% NS. (13 patients with COPD re u ventilation mechanisms for the hearing, not NAV. was in the NIV group did not survive 70% (9 patients and 30% (4 Todesf lle (NS patients who survive tend to be younger (mean age 61.5 vs. 67 , 2 years, NS, had a less severe acidosis (pH 7.
21 vs. 7.14, NS, lower APACHE score (18.4 to 23.4, NS and a short stay (9.4 vs 10, 5 days NS than patients who died not NIV. Sch Tzung the spirometer Voreinla were severity of COPD in a minority of 46% (mean 29 patients. FEV1 was 1.4 L of 60% of the predicted value (range 0.56 2 , 5 Table 1 L. ITU admissions (excluding patients with COPD COPD requiring mechanical ventilation 759 63 Number of patients (mean age 56.3 years 65.5 patients requiring mechanical ventilation (n% 606 (80 53 (84 Todesf ll (n % 168 (14 22.9 (22.1 CONCLUSION. Our study shows that patients with COPD exacerbations during mechanical ventilation was selected hlt no worse than the death rates of mechanically ventilated patients to another pathology. mortality rate is no worse after a failed attempt the NIV.
spirometric results are usually not at the time of admission and patients with disease severity variables are broken available. may be criteria for the selection of individuals for the ventilation of advantage and could eren studies are covered in green . NS not significant. 0662 Prognostic value of protein D Surfactant for assessing acute respiratory syndrome in the ICU Mechanical Ventilation PATIENTS M. Czechowski, e. Karpel, &. Jastrze ˛ BSKA On sthesiologie and Intensive Therapy, Medical University of Silesia, Katowice, Poland Introduction. surfactant proteins are known to be an important factor to be t on lung function and the change their activity can be found to have diagnostic and prognostic value in acute lung injury (ALI / VILI too.
surfactant protein D and be measured in plasma and its plasma concentration in experimental studies obtained ht suspected Sch to the alveolar Ren epithelial barrier with an increased Hten permeability t and adversely Commissioner and Agent gas exchange. The aim of this study is to Ver changes in levels of Surfactant protein judge D serum levels in mechanically ventilated intensive care patients looking for m adjusted correlations with clinical outcomes. methods. With the approval of University t Ethics Committee of 20 ventilated patients (12 M men and 8 women, mean age 58 [23 76], SD14, 36 were enrolled in the study. acute respiratory failure was of 4 patients causes of community-acquired pneumonia (CAP, in severe sepsis by 6 and 5 patients were in the postoperative phase sophagektomie without thoracotomy ventilated w while five required mechanical ventilation w during unconsciousness by subarachnoid hemorrhage (SAH.
serum samples causes the occurrence taken at least 1.3 and 5 days of treatment and PCT (Brahms, Kryptor, CRP, leukocyte count, were evaluated. controlled the clinical course was EEA with the APACHE II score, SOFA score, PaO2/FiO2 ratio ratio, duration of mechanical ventilation and treatment outcome. RESULTS. September pati