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Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index

Received: 23 June 2017     Accepted: 26 July 2017     Published: 24 October 2017
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Abstract

Acute exacerbation of chronic obstructive pulmonary disease (COPD) is a common cause of intensive care unit (ICU) admission due to respiratory failure which often necessitates mechanical ventilation (MV). This study evaluated the rapid shallow breathing index (RSBI) as a predicator of ventilatory support necessity in patients admitted with acute exacerbation of COPD. This study was conducted on 100 acute COPD exacerbation patients who admitted to the critical care department at Alexandria main university hospital. All enrolled patients (n=80) were subjected on admission to RSBI measurement on admission and every 30 minutes for the first 2 hours. The RSBI cutoff value that discriminated best between the need for noninvasive and invasive MV using the Receiver Operating Characteristic (ROC) was > 241 breath/minute/Liter, it showed a sensitivity of 88.33% and a specificity of 100%. RSBI may be a good predictor of ventilatory support necessity in acute exacerbation of COPD.

Published in Journal of Anesthesiology (Volume 5, Issue 3)
DOI 10.11648/j.ja.20170503.12
Page(s) 24-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Critical, Pulmonology, Rapid Shallow Breathing Index, Ventilation

References
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Cite This Article
  • APA Style

    Mohamed Megahed, Tamer Habib, Eman Dwidar, Islam Ahmed. (2017). Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index. International Journal of Anesthesia and Clinical Medicine, 5(3), 24-28. https://doi.org/10.11648/j.ja.20170503.12

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    ACS Style

    Mohamed Megahed; Tamer Habib; Eman Dwidar; Islam Ahmed. Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index. Int. J. Anesth. Clin. Med. 2017, 5(3), 24-28. doi: 10.11648/j.ja.20170503.12

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    AMA Style

    Mohamed Megahed, Tamer Habib, Eman Dwidar, Islam Ahmed. Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index. Int J Anesth Clin Med. 2017;5(3):24-28. doi: 10.11648/j.ja.20170503.12

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  • @article{10.11648/j.ja.20170503.12,
      author = {Mohamed Megahed and Tamer Habib and Eman Dwidar and Islam Ahmed},
      title = {Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {5},
      number = {3},
      pages = {24-28},
      doi = {10.11648/j.ja.20170503.12},
      url = {https://doi.org/10.11648/j.ja.20170503.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20170503.12},
      abstract = {Acute exacerbation of chronic obstructive pulmonary disease (COPD) is a common cause of intensive care unit (ICU) admission due to respiratory failure which often necessitates mechanical ventilation (MV). This study evaluated the rapid shallow breathing index (RSBI) as a predicator of ventilatory support necessity in patients admitted with acute exacerbation of COPD. This study was conducted on 100 acute COPD exacerbation patients who admitted to the critical care department at Alexandria main university hospital. All enrolled patients (n=80) were subjected on admission to RSBI measurement on admission and every 30 minutes for the first 2 hours. The RSBI cutoff value that discriminated best between the need for noninvasive and invasive MV using the Receiver Operating Characteristic (ROC) was > 241 breath/minute/Liter, it showed a sensitivity of 88.33% and a specificity of 100%. RSBI may be a good predictor of ventilatory support necessity in acute exacerbation of COPD.},
     year = {2017}
    }
    

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    AU  - Mohamed Megahed
    AU  - Tamer Habib
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    Y1  - 2017/10/24
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    N1  - https://doi.org/10.11648/j.ja.20170503.12
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    JO  - International Journal of Anesthesia and Clinical Medicine
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    UR  - https://doi.org/10.11648/j.ja.20170503.12
    AB  - Acute exacerbation of chronic obstructive pulmonary disease (COPD) is a common cause of intensive care unit (ICU) admission due to respiratory failure which often necessitates mechanical ventilation (MV). This study evaluated the rapid shallow breathing index (RSBI) as a predicator of ventilatory support necessity in patients admitted with acute exacerbation of COPD. This study was conducted on 100 acute COPD exacerbation patients who admitted to the critical care department at Alexandria main university hospital. All enrolled patients (n=80) were subjected on admission to RSBI measurement on admission and every 30 minutes for the first 2 hours. The RSBI cutoff value that discriminated best between the need for noninvasive and invasive MV using the Receiver Operating Characteristic (ROC) was > 241 breath/minute/Liter, it showed a sensitivity of 88.33% and a specificity of 100%. RSBI may be a good predictor of ventilatory support necessity in acute exacerbation of COPD.
    VL  - 5
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Author Information
  • Critical Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt

  • Critical Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt

  • Critical Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt

  • Clinical Pharmacy Specialist, Faculty of Pharmacy, Alexandria University, Alexandria, Egypt

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