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

Mohamed Megahed; Tamer Habib; Eman Dwidar; Islam Ahmed

doi:doi:10.11648/j.ja.20170503.12

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

Mohamed Megahed, Tamer Habib, Eman Dwidar, Islam Ahmed

Published in Journal of Anesthesiology (Volume 5, Issue 3)

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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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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TY  - JOUR
T1  - Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index
AU  - Mohamed Megahed
AU  - Tamer Habib
AU  - Eman Dwidar
AU  - Islam Ahmed
Y1  - 2017/10/24
PY  - 2017
N1  - https://doi.org/10.11648/j.ja.20170503.12
DO  - 10.11648/j.ja.20170503.12
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 24
EP  - 28
PB  - Science Publishing Group
SN  - 2997-2698
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
IS  - 3
ER  -

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Author Information

Mohamed Megahed

Critical Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Tamer Habib

Critical Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Eman Dwidar

Critical Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Islam Ahmed

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

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Plain Text BibTeX RIS

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

Copy | Download

@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}
}

Copy | Download

TY  - JOUR
T1  - Predicting the Ventilatory Support Necessity for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients Using Rapid Shallow Breathing Index
AU  - Mohamed Megahed
AU  - Tamer Habib
AU  - Eman Dwidar
AU  - Islam Ahmed
Y1  - 2017/10/24
PY  - 2017
N1  - https://doi.org/10.11648/j.ja.20170503.12
DO  - 10.11648/j.ja.20170503.12
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 24
EP  - 28
PB  - Science Publishing Group
SN  - 2997-2698
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
IS  - 3
ER  -

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