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, vol.3, no.2, pp.36-42, 2012 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 3 Issue: 2
  • Publication Date: 2012
  • Doi Number: 10.5152/dcbybd.2012.09
  • Journal Name: JOURNAL OF MEDICAL AND SURGICAL INTENSIVE CARE MEDICINE
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE
  • Page Numbers: pp.36-42
  • Keywords: Myasthenic crisis, maximum expiratory pressure, maximum inspiratory pressure, atelectasis, recruitment
  • Hacettepe University Affiliated: Yes

Abstract

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.