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Boussignac continuous positive airway pressure for weaning with tracheostomy tubes.
Respiration. 2008; 75(4):427-31.R

Abstract

BACKGROUND

In patients who are weaned with a tracheostomy tube (TT), continuous positive airway pressure (CPAP) is frequently used. Dedicated CPAP systems or ventilators with bulky tubing are usually applied. However, CPAP can also be effective without a ventilator by the disposable Boussignac CPAP (BCPAP) system that is normally used with face masks.

OBJECTIVE

It was the aim of this audit to evaluate the feasibility of low-level BCPAP in patients who were weaned with a TT.

METHODS

All patients at our surgical intensive care unit who received a TT for weaning were considered for application of BCPAP. Once patients had received minimal pressure support from the mechanical ventilator, the BCPAP device was connected to the TT three times a day for 30 min with pressure set to 3-5 cm H(2)O, FiO(2) at 0.4 and with humidification. BCPAP was then gradually extended to 24 h/day. Patient acceptance, complications and outcome were recorded.

RESULTS

58 patients received a TT to facilitate weaning. They had a median stay of 52 days in the intensive care unit during which they had an endotracheal tube for 22 days and a TT for 28 days. 50 of these patients (86%) received BCPAP for a median of 16 days. The lightweight BCPAP system was well tolerated without tube obstructions or accidental decannulations and may have contributed to patient mobility. No patient remained on ventilatory support after hospital discharge. In-hospital and 1-year survival were 86 and 71%, respectively.

CONCLUSIONS

BCPAP is a feasible and safe method for weaning tracheostomy patients.

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Authors+Show Affiliations

Dieperink W
Surgical Intensive Care Unit, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. w.dieperink@chir.umcg.nl
Aarts LP
No affiliation info available
Rodgers MG
No affiliation info available
Delwig H
No affiliation info available
Nijsten MW
No affiliation info available

MeSH

AdultAgedContinuous Positive Airway PressureCritical CareFemaleHumansMaleMiddle AgedTracheostomyVentilator Weaning

Pub Type(s)

Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17652948

Citation

Dieperink, Willem, et al. "Boussignac Continuous Positive Airway Pressure for Weaning With Tracheostomy Tubes." Respiration; International Review of Thoracic Diseases, vol. 75, no. 4, 2008, pp. 427-31.
Dieperink W, Aarts LP, Rodgers MG, et al. Boussignac continuous positive airway pressure for weaning with tracheostomy tubes. Respiration. 2008;75(4):427-31.
Dieperink, W., Aarts, L. P., Rodgers, M. G., Delwig, H., & Nijsten, M. W. (2008). Boussignac continuous positive airway pressure for weaning with tracheostomy tubes. Respiration; International Review of Thoracic Diseases, 75(4), 427-31.
Dieperink W, et al. Boussignac Continuous Positive Airway Pressure for Weaning With Tracheostomy Tubes. Respiration. 2008;75(4):427-31. PubMed PMID: 17652948.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Boussignac continuous positive airway pressure for weaning with tracheostomy tubes. AU - Dieperink,Willem, AU - Aarts,Leon P H J, AU - Rodgers,Michael G G, AU - Delwig,Hans, AU - Nijsten,Maarten W N, Y1 - 2007/07/25/ PY - 2006/10/12/received PY - 2007/04/27/accepted PY - 2007/7/27/pubmed PY - 2008/7/23/medline PY - 2007/7/27/entrez SP - 427 EP - 31 JF - Respiration; international review of thoracic diseases JO - Respiration VL - 75 IS - 4 N2 - BACKGROUND: In patients who are weaned with a tracheostomy tube (TT), continuous positive airway pressure (CPAP) is frequently used. Dedicated CPAP systems or ventilators with bulky tubing are usually applied. However, CPAP can also be effective without a ventilator by the disposable Boussignac CPAP (BCPAP) system that is normally used with face masks. OBJECTIVE: It was the aim of this audit to evaluate the feasibility of low-level BCPAP in patients who were weaned with a TT. METHODS: All patients at our surgical intensive care unit who received a TT for weaning were considered for application of BCPAP. Once patients had received minimal pressure support from the mechanical ventilator, the BCPAP device was connected to the TT three times a day for 30 min with pressure set to 3-5 cm H(2)O, FiO(2) at 0.4 and with humidification. BCPAP was then gradually extended to 24 h/day. Patient acceptance, complications and outcome were recorded. RESULTS: 58 patients received a TT to facilitate weaning. They had a median stay of 52 days in the intensive care unit during which they had an endotracheal tube for 22 days and a TT for 28 days. 50 of these patients (86%) received BCPAP for a median of 16 days. The lightweight BCPAP system was well tolerated without tube obstructions or accidental decannulations and may have contributed to patient mobility. No patient remained on ventilatory support after hospital discharge. In-hospital and 1-year survival were 86 and 71%, respectively. CONCLUSIONS: BCPAP is a feasible and safe method for weaning tracheostomy patients. SN - 1423-0356 UR - https://www.unboundmedicine.com/medline/citation/17652948/Boussignac_continuous_positive_airway_pressure_for_weaning_with_tracheostomy_tubes_ L2 - https://www.karger.com?DOI=10.1159/000106551 DB - PRIME DP - Unbound Medicine ER -