Ventilatory care in XXXX crisis: assessing the baseline adverse event rate.

@entity1 @entity4094 @entity3935 @entity55 @entity146 @entity1737 @entity651 @entity891 @entity358 @entity8491 @entity1576
OBJECTIVE: @entity8491 @entity1 who require mechanical ventilation often develop @entity55 or @entity891 . Although there are differences in the prevalence of these complications among various institutions, there is no evidence that aggressive treatment shortens the course of the @entity3935 . We have quantified the severity of @entity651 and @entity146 of respiratory intervention in @entity8491 @entity1 admitted to the neuro-critical care unit. DESIGN: We retrospectively identified all mechanically ventilated @entity8491 @entity1 admitted in our unit between 1990 and 1998. SETTING: Neuro-critical care unit of a tertiary care center in an urban area with a large, established, regional @entity4094 program. @entity1 : Eighteen @entity1737 @entity1 with 24 episodes of @entity1576 requiring mechanical ventilation. INTERVENTIONS: A novel respiratory intervention index, comprising the use of suction, intermittent positive-pressure breathing or bronchodilator treatments, sighs, and chest physiotherapy represented the @entity146 of the respiratory treatment. The respiratory intervention index was correlated with the @entity651 score, used as a measure of lung involvement and other respiratory variables. MEASUREMENTS AND MAIN RESULTS Our @entity1 had less @entity891 and @entity55 than previously published series (46% vs. 91%), leading to shorter mechanical support and neuro-critical care unit stay. The mean respiratory intervention index correlated with @entity651 score and inversely with forced vital capacity. CONCLUSIONS: This study presents an estimate for both severity of @entity358 and intensity of respiratory therapy in the severe @entity8491 @entity1 with mechanical ventilatory compromise. Our results suggest that aggressive respiratory treatment should be used in @entity8491 @entity1 in crisis to diminish the risk for prolonged @entity1576 . These observations should be validated in a prospective study.
