Journal of Cardio-Thoracic Medicine

Journal of Cardio-Thoracic Medicine

Correlation of spirometry Parameters and Clinical Variables among Post Extubated Patients in Selected Intensive Care Unit of Tertiary Care Hospital

Document Type : Original Article

Authors
Drishti Khugshal 1
Rajesh Kumar Sharma 2
Sushant Khanduri 3
Sanchita Pugazhendi 4
Rakhee Sodhi Khanduri 5
1 Nurse practitioner, Swami Rama Himalayan University, Dehradun, India
2 Himalayan College of Nursing, Dehradun, India
3 Pulmonary medicine, Department of Pulmonary Medicine, Swami Rama Himalayan University, Dehradun, India
4 Department of Nursing, Swami Rama Himalayan University, Dehradun, India
5 Department of Respiratory Medicine, Swami Rama Himalayan University, Dehradun, India
10.22038/jctm.2021.58285.1335
Abstract
Introduction: Intubation is the common medical procedure which involves the insertion of a plastic tube which is a flexible tube in the throat of the patient. Reintubation is described as the failed extubation or patient get intubation after extubation who had been initially tracheal intubated.The purpose of the study was to determine the Spiro metric parameters among post Extubated patients and the application of Non-Invasive Ventilation for - prevention of reintubation.
Materials and Method: Quantitative research approach with purposive sampling technique was adopted to include 38 participants. Data were collected by providing spirometry immediately after extubation. The data were analyzed using descriptive statistics.
Results: The result shows that 36.84% of participants required non-invasive ventilation after extubation who were having FEV1 between 0.38-1.48, FVC between 0.44-1.75, PEFR between50-70. Hemodynamic variable like saturation (0.01), PCO2 (0.00), PO2 (0.03), and HCO3 (0.00) were highly significant at the level of p < 0.05. Proving that patients whose saturation level& ABG profile like PCO2, PO2, and HCO3 are not maintained required NIV after extubation.
Conclusion: Study concludes that in Extubated patient’s prophylactic non-invasive ventilation prevents extubation failure assessing the Spiro metric parameters in patients who can maintain saturation with less oxygen support, is also important in predicting good outcome of non-invasive ventilation after extubation.
Keywords
Clinical Variables
Post - Extubated Patients
Non-Invasive Ventilation
Spontaneous Breathing Trial
Spirometric Parameters
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Journal of Cardio-Thoracic Medicine
Volume 9, Issue 3
Summer 2021
Pages 845-853