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Download Summer Learning & Special Needs Peraturan Bandar 1925 Pdf DownloadDownload Summer Learning & Peraturan Bandar 1925 Pdf DownloadSpecial Needs Peraturan Bandar 1925 Pdf DownloadPredicting the number of patients who will be reintubated after cardiac arrest with evidence of brain death.
The goal of this study was to determine the predictors of reintubation in a series of patients with evidence of brain death during the process of withdrawal of life-sustaining therapy (WLST) and to assess the effect of reintubation on outcome. From May 1998 to October 1999, 15 cardiac arrest patients with evidence of brain death were entered into a protocol for WLST. A repeated measures analysis was performed with the outcome of reintubation as the dependent variable and demographic characteristics, electrocardiographic findings, and postresuscitation data as independent variables. Six of the 15 patients were reintubated. The results of the univariate analysis showed that reintubation was significantly associated with a longer initial cardiac arrest interval (P=0.03), a return of spontaneous circulation without the use of ventilator support (P=0.02), the presence of asystole (P=0.04), and the lack of defibrillation (P=0.02). A multivariate analysis showed that only prolonged cardiac arrest interval (P=0.01) and the presence of asystole (P=0.03) were predictive of reintubation. Six of the seven patients without brain death who were reintubated survived, and one died after reintubation. Three of the four patients who were reintubated who died had brain death. In our series, reintubation was associated with a poorer outcome than WLST without reintubation. All patients who remained comatose after reintubation died. The observation that reintubation was associated with a poorer outcome for patients with brain death and a successful outcome for patients without brain death suggests that some predictors of reintubation are specific to the neurologic prognosis, whereas others may be nonspecific indicators of patient morbidity during WLST. https://jameharayan.com/2022/06/07/nvidia-purevideo-decoder-nvidia-dvd-decoder-1-02-with-product-key-updated-2022/
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