Critical Care: Critical Care: Mechanical Ventilation |

Clinical Outcomes Related to OMAHA+ Scale in Hospitalized Patients at the Intensive Care Unit in the Universitary Hospital of Fundación Santa Fe de Bogotá FREE TO VIEW

Natalia Garzon, MD; Jorge Carrizosa, MD; David Rodriguez, MD; Edgar Celis, MD; Leopoldo Ferrer, MD
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Universitary Hospital of Fundacion Santa Fe de Bogota, Bogota, Colombia

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A163. doi:10.1016/j.chest.2016.02.169
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SESSION TITLE: Critical Care: Mechanical Ventilation

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: Mechanical ventilation is an essential tool to treat patients with acute respiratory failure, however prolongation of this support and unsuccessful extubation is associated with higher morbidity and mortality rates and increased costs of hospitalization. There is currently no consensus on when to perform the extubation of the patient. The aim of this study was to describe the clinical outcomes of extubation process in patients hospitalized at ICU using the OMAHA+ scale, which refers to Oxigenation, respiratory Mechanics, Acid-base status, Hemodynamics and Airway, plus directed physical examination.

METHODS: We conducted a descriptive, prospective study, based on the record of the instrument OMAHA+ and follow up of 68 patients during and after extubation in both adult intensive care units in the Universitary Hospital of Fundación Santa Fe de Bogotá August 2014 and May 2015.

RESULTS: We found ABG values close to normal, with mean PaO2/FiO2 ratio 261 (SD 60.6), mean SaO2 96% (SD 2%), mean serum lactate 1.5 mmol/L (SD 1.2 mmol/L), with normal vital signs, the most common cause of ICU admission was pneumonia, followed by cardiac and abdominal surgery, ventilator settings at the time of extubation where mean PEEP 6 (SD 0.8), mean tidal volume 8 ml/kg (SD 1.4 ml/kg), mean Tobin index of 34 (SD 11.9), positive cuff-leak test 94%, there was only one failed extubation (1.5%).

CONCLUSIONS: We conclude thar OMAHA+ scale could be a useful, simple and comprehensive tool to guide extubation patients in the ICU with a low failure rate.

CLINICAL IMPLICATIONS: Higher succesful extubation rates could be possible applying this integrated but simple scale, ofreciendo shorter length of stay at the ICU and less costs.

DISCLOSURE: Edgar Celis: Employee: employee Leopoldo Ferrer: Employee: employee The following authors have nothing to disclose: Natalia Garzon, Jorge Carrizosa, David Rodriguez

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