A Survey of Mechanical Ventilation Weaning Practices in ICUs of Bangladesh

Authors

  • Mohammad Omar Faruq Professor of Critical Care Medicine and Chief Consultant, General ICU and Emergency, United Hospital Ltd, Dhaka 1212, Bangladesh
  • ASM Areef Ahsan Professor of Critical Care Medicine, BIRDEM General Hospital, Shahbag Dhaka 1000, Bangladesh
  • Kaniz Fatema Associate Professor of Critical Care Medicine, BIRDEM General Hospital, Shahbag, Dhaka 1000, Bangladesh
  • Fatema Ahmed Associate Professor of Critical Care Medicine, BIRDEM General Hospital, Shahbag, Dhaka 1000, Bangladesh
  • Amina Sultana Associate Consultant, General ICU and Emergency, Covid ICU, United Hospital Ltd, Dhaka 1212, Bangladesh
  • Uzzwal Kumar Mallick Assistant Professor,ICU, National Institute of Neuroscience and Hospital, Dhaka 1207.Bangladesh
  • - Mohammad Asaduzzaman Associate Consultant ICU, Asgar Ali Hospital, Dhaka 1204 and Associate Professor, Critical Care Medicine, IbnSina Medical College Hospital, Dhaka 1216, Bangladesh
  • Md Motiul Islam Associate Consultant ICU, Asgar Ali Hospital, Dhaka 1204 and Associate Professor, Critical Care Medicine, IbnSina Medical College Hospital, Dhaka 1216, Bangladesh
  • Md Ashraful Haque Consultant, ICU, Sheikh Fazilatun Nessa Mujib KPJ Specialized Hospital, Gazipur, Bangladesh
  • AK Qumrul Huda Professor, ICU, BSM Medical University, Dhaka 1000, Bangladesh
  • Rozina Sultana Registrar, Critical Care Medicine, BIRDEM General Hospital, Dhaka 1000, Bangladesh
  • Rownak Jahan Tamanna Consultant Cardiology, LabAid Cardiac hospital, Dhanmodi, Dhaka 1207
  • Samira Humaira Habib Principal Research Officer and Associate Professor, Health Economics Unit, Diabetic Association of Bangladesh, Dhaka 1000, Bangladesh
  • Umme Kulsum Chy Junior Consultant, General ICU, United Hospital Ltd, Dhaka 1212, Bangladesh
  • Mohammed Salah Uddin Specialist, General ICU, United Hospital Ltd, Dhaka 1212, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v9i1.53049

Keywords:

ICU, Weaning, Mechanical Ventilation

Abstract

Objective : To determine mechanical ventilation discontinuation (weaning) practices in Bangladesh as there is currently no data available on this issue.

Method : Analyzing the Survey on Bangladeshi respondents using questionnaire developed by and used by a pan Asian study where Bangladesh critical care physicians participated.

Result : 40 physicians from 10 ICUs of Bangladesh participated. Majority of our participating doctors (62.5%) came from private for profit hospital. 19 out of 40 respondents were certified in critical care medicine. In our study spontaneous breathing trial (SBT) was liberally used with pressure support being used by 30% respondents. Most of the extubation trial took place during day. As criteria for extubation, respondents mainly considered consciousness and cooperation and along with gag reflex, cough strength, suction frequency and cuff leak at different times. Noninvasive ventilation (NIV) was commonly used for early extubation in cases of COPD, cardiogenic pulmonary edema, neuromuscular disorders, post-operative cases and obesity. Slightly less than half of respondents did not follow any sedation protocol and 42.5% followed weaning protocol. Protocolized weaning by nurses are not known to be practiced in Bangladesh.

Conclusion : Weaning practices are diverse in Bangladeshi ICUs. Protoclized weaning is rarely practiced in Bangladesh.

Bangladesh Crit Care J March 2021; 9(1): 4-11

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Published

2021-04-18

How to Cite

Faruq, M. O., Ahsan, A. A., Fatema, K., Ahmed, F., Sultana, A., Mallick, U. K., Mohammad Asaduzzaman, .-., Islam, M. M., Haque, M. A., Huda, A. Q., Sultana, R., Tamanna, R. J., Habib, S. H., Chy, U. K., & Uddin, M. S. (2021). A Survey of Mechanical Ventilation Weaning Practices in ICUs of Bangladesh. Bangladesh Critical Care Journal, 9(1), 4–11. https://doi.org/10.3329/bccj.v9i1.53049

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Original Articles