Pande Rajesh Kumar, Sharma Jitin
Department of Critical Care, BLK-MAX Super Speciality Hospital, New Delhi, India.
Indian J Crit Care Med. 2022 Aug;26(8):887-888. doi: 10.5005/jp-journals-10071-24290.
Successful weaning is when spontaneous breathing is sustained for more than 48 hours after extubation. Despite a plethora of individual and composite weaning indices being available, most indices have not found much clinical utility, and weaning continues to be largely based on clinical assessment. Heart rate, acidosis, consciousness, oxygenation, and respiratory rate (HACOR) is a new score for prediction of failure of noninvasive ventilation (NIV) in hypoxemic patients receiving NIV. The present study explores its utilization in weaning from invasive ventilation.
Pande RK, Sharma J. Heart Rate, Acidosis, Consciousness, Oxygenation, and Respiratory Rate: A Perfect Weaning Index or Just a New Kid on the Block. Indian J Crit Care Med 2022;26(8):887-888.
成功撤机是指拔管后自主呼吸持续超过48小时。尽管有大量的个体和综合撤机指标可供使用,但大多数指标尚未发现有太多临床实用性,撤机在很大程度上仍基于临床评估。心率、酸中毒、意识、氧合和呼吸频率(HACOR)是预测接受无创通气(NIV)的低氧血症患者无创通气失败的新评分。本研究探讨其在有创通气撤机中的应用。
潘德RK,夏尔马J。心率、酸中毒、意识、氧合和呼吸频率:一个完美的撤机指标还是初来乍到的新手。《印度重症监护医学杂志》2022年;26(8):887 - 888。