The effect of tidal volumes on the time to wean persons with high tetraplegia from ventilators

Short Title:
The effect of tidal volumes on the time to wean persons with high tetraplegia from ventilators
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J36570.
Journal:
Spinal Cord
Year, Volume, Issue, Page(s):
1999, vol. 37, issue 4, pp 284-288
Publication Website:
Abstract:
A retrospective study examined medical records of 42 patients with ventilator dependent C3-4 tetraplegia to compare patient weaning differences related to ventilator tidal volumes. The patients were divided into two groups: those with a large tidal volume (>20 mls/kg of body weight) and a smaller tidal volume (<20 mls/kg of body weight). Although both groups were equivalent in neurological level and completeness, muscular function, initial and final spontaneous vital capacity, as well as the weaning method used, those with the larger tidal volume successfully weaned an average of 21 days faster than the lower tidal volume group (37.6 days versus 58.7 days, p=0.02). The larger tidal volume group also had significantly less atelectasis (p=0.01) than the lower tidal volume group.
Author(s):
Peterson, W. P.; Barbalata, L.; Brooks, C. A.; Gerhart, K. A.; Mellick, D. C.; Whiteneck, G. G.
Author Address(es):
Participating Centers:

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