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Teixeira C, Tonietto TF, Gonçalves SC, Cremonese RV, De Oliveira RP, Savi A, Oliveira ES, Alves FAC, Brodt SFM, Barth JHD, Machado AS, de Campos Balzano P, Maccari JG, da Silva NB. Noradrenaline Use is Not Associated with Extubation Failure in Septic Patients. Anaesth Intensive Care 2008; 36:385-90. [DOI: 10.1177/0310057x0803600310] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Standard clinical practice recommends minimal doses of vasoactive drugs during weaning of patients from mechanical ventilation. However, there are currently no clinical data to inform clinicians about whether the use of noradrenaline during weaning predisposes to weaning failure. The objective of this study was to evaluate whether the necessity of the vasopressor noradrenaline in mechanically ventilated patients recovering from septic shock changed the extubation outcome. A total of 656 patients recovering from septic shock on mechanical ventilation were selected from intensive care units in two university hospitals. Patients receiving noradrenaline at the time of weaning and case-controls not taking noradrenaline were matched for age, gender, haemodynamic and ventilatory parameters, aetiology of respiratory failure and APACHE II score. One hundred and forty-five patients who successfully tolerated a spontaneous breathing trial were extubated while on noradrenaline therapy and the reintubation rate was measured. In the noradrenaline group, the mean dose of noradrenaline during initial shock treatment was 0.52±0.29 μg/kg/min and 0.12±0.10 μg/kg/min during weaning. The reintubation rate was 12/63 (19%) in the noradrenaline group and 15/82 (18.3%) in the control group (P=1.00). Intensive care unit mortality was also similar in both groups (10/63, 15.9%) for noradrenaline patients and (11/82, 13.4%) for control patients (P=0.81). Arterial blood gases and ventilatory and haemodynamic parameters were similar in all patients regardless of weaning success. We did not find that the use of noradrenaline at the time of weaning was associated with extubation failure. Low doses of noradrenaline may not preclude weaning from mechanical ventilation.
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Affiliation(s)
- C. Teixeira
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital and Central ICU Casa Hospital
| | - T. Frederico Tonietto
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - S. Cadaval Gonçalves
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - R. Viegas Cremonese
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - R. Pinheiro De Oliveira
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital and Central ICU Casa Hospital
| | - A. Savi
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - E. Silvestre Oliveira
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensivist
| | - F. André Cardona Alves
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - S. Fernando Monteiro Brodt
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - J. Hervê Diel Barth
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - A. Santana Machado
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - P. de Campos Balzano
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - J. Gasparetto Maccari
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
| | - N. Brandão da Silva
- Intensive Care Unit, Moinhos de Vento Hospital and Central Intensive Care Unit, Santa Casa Hospital, Porto Alegre, Brazil
- Intensive Care Unit, Moinhos de Vento Hospital
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