Randomised Controlled Study Comparing Adaptive Support Ventilation (ASV) and Synchronised Intermittent Mode of Ventilation (SIMV) with Respect to Weaning
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 2
Abstract
Aim: ASV is a closed-loop ventilation mode that can act both as pressure support ventilation and pressure-controlled ventilation. The aim of the present randomised controlled study was to compare ASV mode with SIMV in ICU (Intensive Care Unit) patients with respect to weaning on the following parameters: time from readiness to wean to extubation with total numbers of ventilation days and ICU stay. Methods: 40 patients, who were on intermittent positive pressure ventilation (IPPV), were included in this study, randomly, 20 patients were weaned by ASV mode group A, and 20 patients were weaned by conventional weaning (SIMV) group B (control group). Result: We found that the patients who were on adaptive support ventilation (group A) had higher P/F ratio and better oxygenation than synchronised intermittent mode of ventilation during the period of weaning. Mean time duration of weaning upto extubation and length of stay in the ICU was shorter with ASV than SIMV mode but the difference was not statistically significant. Conclusion: This study suggest that ASV can be a useful alternative to conventional mode of ventilation for weaning from mechanical ventilation with advantage of better oxygenation and P/F ratio.
Authors and Affiliations
Deepika Doneria
Keywords
Related Articles
- EP ID EP368311
- DOI -
- Views 115
- Downloads 0
In-Patient Falls: Investigation of Two-Year Electronic Health Records of the Hospital
Patient falls are accepted as a significant problem of patient safety in health care institutions worldwide, and they appear to be among the most common reasons for secondary injury in hospitals. Falls may lead to such...
Physical Health Problems and Psychological Well-Being among Orphan Children of Selected Orphanage Homes
Background: Children are gift of GOD; unfortunately not all children are brought up by their parents. Most of these orphan children are placed in orphanages. Orphan means child whose mother or father or both parents are...
A Study to Assess the Effectiveness of Selected Strategies to Improve the Wellbeing Status of Elderly Inmates of Selected Old Age Homes in Bangalore
Introduction: The care of elderly adults has been the responsibility of family members and was provided within the extended family home. Increasingly in modern societies, elderly care is being provided by state or charit...
Post Hypoxic Sequelae Following Organophosphorus Poisoning – A Case Report
A 19 year young male who consumed organophosphorus compound and required assisted mechanical ventilation. He developed features of anoxic encephalopathy with diminished vision and weakness. There was good recovery on tre...
A Study on Socio Demographic and Fertility Characteristics of Ante Natal Women Attending Urban Health Clinics, In Slum Areas of Hyderabad
Background: In any community mothers and children constitute a priority group. The problems affecting the health of mother and child are multifactorial. This study which was done in urban slums of Hyderabad, facilitates...