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121920

Assist Control Ventilation Versus Synchronized Mode Intermittent Mandatory Ventilation in Pediatric Intensive Care Unit

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Last updated: 30 Jan 2023

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Abstract

Background: Ventilator weaning consists of the gradual reduction of ventilatory support and the transfer of respiratory control and the work of breathing back to the patient, resulting in discontinuation of mechanical ventilation. Objective: The aim of this study was to compare between assisted controlled (AC) ventilation mode and synchronized intermittent mandatory ventilation (SIMV) mode for easy weaning in pediatric intensive care unit (PICU). Subjects and methods: This was non-randomized control trial; 50 patients were selected and divided alternatively into two equal groups: an AC group (ACG) and an SIMV group (SIMVG). The patients were connected on SIMV or AC mode according to inclusion and exclusion criteria and follow up of the cases was done regarding ventilator settings, compliance of the patients, need of sedation, and progress of weaning process. Results: the results revealed that there wass statistically non-significant difference between the studied groups regarding progress or weaning interruption. Larger percentage within both groups had progressive uninterrupted weaning. Conclusion: We found no evidence to support any clear-cut advantage of SIMV or AC in the acute management of respiratory failure, and we concluded that AC and SIMV could improve and fasten the weaning process and increase the success rate of weaning.

DOI

10.21608/ejhm.2020.121920

Keywords

intermittent, rate, SIMV, Synchronized, Ventilation, Weaning

Authors

First Name

Nehad Ahmed Karam

Last Name

Abd El Fatah

MiddleName

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Affiliation

Department of Pediatrics, Faculty of Medicine, Zagazig University, Egypt

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First Name

Dalia Abdul Latif

Last Name

Abdul Rahman

MiddleName

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Affiliation

Department of Pediatrics, Faculty of Medicine, Zagazig University, Egypt

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Orcid

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First Name

Ibrahim Saleh Farag

Last Name

Agaarib

MiddleName

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Affiliation

Department of Pediatrics, Faculty of Medicine, Sirte University, Libya

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Orcid

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Volume

81

Article Issue

4

Related Issue

18005

Issue Date

2020-10-01

Receive Date

2020-11-06

Publish Date

2020-10-01

Page Start

1,903

Page End

1,909

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_121920.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=121920

Order

29

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023