• Corpus ID: 23195902

Effects of APACHE II score on mechanical ventilation; prediction and outcome.

@article{Mati2007EffectsOA,
  title={Effects of APACHE II score on mechanical ventilation; prediction and outcome.},
  author={Ivo Mati{\'c} and Marina Titli{\'c} and Marinko Dikanovi{\'c} and Matija Jurjevi{\'c} and Ivana Juki{\'c} and Ante Tonki{\'c}},
  journal={Acta anaesthesiologica Belgica},
  year={2007},
  volume={58 3},
  pages={
          177-83
        }
}
AIM To evaluate the influence of Acute Physiology and Chronic Health Evaluation (APACHE II) score on the choice of mechanical ventilation method and treatment outcome. [] Key MethodMETHODS A prospective, randomized trial was carried out at the multidisciplinary Intensive Care Unit over 22 months. Research sample consisted of 129 patients who required mechanical ventilation, divided in two groups: APACHE II < or = 20 and APACHE II > 20.
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24 Citations
Background Citations
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Methods Citations
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Results Citations
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23 References

Predicting 3-day and 7-day outcomes of weaning from mechanical ventilation.

The overall severity of illness as assessed by APACHE II score correlates better with 3- and 7-day weaning outcome than the published WIs.

A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation

The results show that all the evaluated indexes are poor predictors of weaning outcome in a general intensive care unit population.

Outcome of mechanically ventilated patients who require a tracheostomy*

Tracheostomy is a common surgical procedure in the intensive care unit that is associated with a lower mortality in the unit but with a longer stay and a similar mortality inThe hospital than in patients without trachostomy.

Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients.

Use of NIV instead of mechanical ventilation is associated with a lower risk of nosocomial infections, less antibiotic use, shorter length of ICU stay, and lower mortality.

Comparison of pressure support and T-tube weaning from mechanical ventilation: randomized prospective study.

In patients with weaning difficulties, PSV with 8 cm H(2)O was more successful weaning method than T-tube, and PSV was the superior method of weaning according to rate of successful extubation, time of weaned from mechanical ventilation, total time of Mechanical ventilation, and length of ICU stay.

Noninvasive mechanical ventilation in clinical practice: A 2-year experience in a medical intensive care unit*

The results suggest that NIV should be considered as a first-line ventilatory treatment in various etiologies of acute respiratory failure and as a promising weaning technique and postextubation ventilatories support.

Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study

In hypoxemic ARF, NPPV can be successful in selected populations, but when patients have a higher severity score, an older age, ARDS or pneumonia, or fail to improve after 1 h of treatment, the risk of failure is higher.

Noninvasive versus conventional mechanical ventilation. An epidemiologic survey.

NIV can be successful in selected patients, and is associated with a lower risk of pneumonia and death than is ETI, and in NIV patients, SAPS II and a poor clinical tolerance predicted secondary ETI.

APACHE II: A severity of disease classification system

The form and validation results of APACHE II, a severity of disease classification system, are presented, showing an increasing score was closely correlated with the subsequent risk of hospital death for 5815 intensive care admissions from 13 hospitals.

Noninvasive mechanical ventilation in acute respiratory failure.

    N. Ambrosino
    Medicine, Biology
    The European respiratory journal
  • 1996
In selected patients a trial of noninvasive mechanical ventilation, as an adjunct to medical therapy, should be instituted at an early stage of ARF episodes before severe acidosis ensures, to avoid ET intubation.