Table 3 Case by case analysis of patients with weaning failure.
From: Weaning from mechanical ventilation during myasthenic crisis, a monocentric retrospective study
Age Sex | Delay (mo) | MV Duraiton | SBT duration | Unfavorable criteria | MM Score | Axial tonus | Swallowing disorder | Reason for failure |
|---|---|---|---|---|---|---|---|---|
52M | inaugural | 9 | 8 | N | 37 | 10 | O | Swallowing disorder with massive pulmonary aspiration |
83M | 48 | 36 | 8 | N | 35 | 10 | N | Failure at 4th day. Plurifactorial reason sarcopenia, NMAW |
43M | Inaugural | 48 | 8 | O | 47 | 0 | O | Swallowing disorder with massive pulmonary aspiration |
81M | 3 | 6 | 8 | N | 22 | 5 | O | Swallowing disorder with massive pulmonary aspiration |
28F | 9 | 6 | 8 | O | 27 | 10 | N | Laryngeal Edema |
19F | 36 | 5 | 8 | O | 70 | 10 | O | Swallowing disorder with massive pulmonary aspiration |
80F | 30 | 18 | 8 | O | 18 | 0 | N | Early respiratory exhaustion attributed to bad myasthenic control despite successful SBT and functional tests |
87F | Inaugural | 18 | 4 | O | ND | ND | N | Early respiratory exhaustion attributed to bad myasthenic control despite successful SBT and functional tests |
39F | Inaugural | 13 | 8 | O | 50 | 10 | O | Swallowing disorder with massive pulmonary aspiration |
60F | 8 | 12 | 8 | N | 50 | 10 | N | Laryngeal Edema |
36F | Inaugural | 20 | 5 | O | ND | ND | N | Failure 24 h after auto-extubation despite 4-h successful spontaneous breathing trial. Medical history of cardiac failure, plurifactoorial failure |
72F | 5 | 27 | 8 | O | 36 | 5 | N | Respiratory exhaustion despite physiotherapy and NIV use. Extubation with widened criteria (VC drop from 39 to 16% and RR increasing from 22 to 30 bpm. Widened criterion due to age and inability to perform prolonged SBT |
22F | 2 | 13 | 8 | N | 38 | 5 | O | Swallowing disorder with massive pulmonary aspiration |
76M | Inaugural | 24 | 8 | N | ND | ND | N | Undefined reason for extubation failure |
69M | 25 | 16 | 4 | O | 47 | 10 | N | Early respiratory exhaustion attributed to bad myasthenic control despite successful 4-h SBT. Duration lowered due to a satisfactory apparent myasthenic control |
61F | 432 | 22 | 8 | N | 20 | 0 | N | Respiratory exhaustion despite physiotherapy NIV and cough assist. Thymoma relapse |
64M | Inaugural | 15 | 10 | O | ND | ND | N | Postoperative period of thymectomia. Respiratory exhaustion 48 h after extubation. Attributed to a bad myasthenia control. Successful extubated 7 days after |
76M | 41 | 34 | 8 | N | 70 | 5 | N | Third myasthenic crisis. History of pulmonary cancer with radiotherapy. Sarcopenia. Multifactorial respiratory exhaustion |
