Prediction of Extubation Success in Myasthenic Crisis Using Bedside Functional Residual Capacity Measurement: A Prospective Feasibility Study

TOPÇUOĞLU M. A., ARSAVA E. M., CANKURTARAN T., AKPINAR E.

JOURNAL OF MEDICAL AND SURGICAL INTENSIVE CARE MEDICINE, cilt.3, sa.2, ss.36-42, 2012 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 3 Sayı: 2
  • Basım Tarihi: 2012
  • Doi Numarası: 10.5152/dcbybd.2012.09
  • Dergi Adı: JOURNAL OF MEDICAL AND SURGICAL INTENSIVE CARE MEDICINE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE
  • Sayfa Sayıları: ss.36-42
  • Anahtar Kelimeler: Myasthenic crisis, maximum expiratory pressure, maximum inspiratory pressure, atelectasis, recruitment
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Aim: Extubation failure often complicates the recovery phase of a myasthenic crisis (MC). Bedside functional residual capacity (FRC) is a relatively new technique shown to be promising in the improvement of ventilation management in the intensive care unit (ICU), and may have a role in the estimation of extubation success. Since the prediction of extubation success is difficult due to the absence of formally evaluated disease-specific criteria, the appropriateness of any strategy described for non-neuromuscular conditions should be validated for specific neuromuscular diseases such as MC. In accordance, we designed a pilot study to determine the feasibility of bedside FRC measurement in the prediction of extubation success in MC and to determine its yield when added to the conventional parameters.