Spontaneous breathing trial extubation




















Background: Predicting whether an obese critically ill patient can be successfully extubated may be specially challenging. Several weaning tests have been described but no physiological study has evaluated the weaning test that would best reflect the post-extubation inspiratory effort.

To further minimize interaction between each setting, a period of baseline ventilation was performed between each step of the study. Results: Respiratory variables and esophageal and gastric pressure were recorded. Table 4 Risk factors of extubation failure. Acknowledgment We would like to express our special thanks to faculty members of emergency department in Shahid Beheshti University of Medical Sciences. Conflict of interest All authors declare that there is no conflict of interest in this study.

References 1. Evolution of mechanical ventilation in response to clinical research. American journal of respiratory and critical care medicine. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine.

Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. The New England journal of medicine. Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay. The American journal of medicine.

Jubran A, Tobin MJ. Pathophysiologic basis of acute respiratory distress in patients who fail a trial of weaning from mechanical ventilation. Konno-Mead analysis of ribcage-abdominal motion during successful and unsuccessful trials of weaning from mechanical ventilation. The American review of respiratory disease. MacIntyre NR. The ventilator discontinuation process: an expanding evidence base.

Respiratory care. The prognostic significance of passing a daily screen of weaning parameters. Intensive care medicine. Weaning from mechanical ventilation. The European respiratory journal.

Application of heart-rate variability in patients undergoing weaning from mechanical ventilation. Critical care London, England ; 18 1 :R Do heart and respiratory rate variability improve prediction of extubation outcomes in critically ill patients? Critical care London, England ; 18 2 :R Heart rate variability as a predictor of cardiac dysrhythmias during weaning from mechanical ventilation. American journal of critical care : an official publication, American Association of Critical-Care Nurses.

Classification of patients undergoing weaning from mechanical ventilation using the coherence between heart rate variability and respiratory flow signal. Physiological measurement. Predictors of sleep quality and successful weaning from mechanical ventilation among patients in respiratory care centers. The journal of nursing research : JNR. Clinical review: Critical illness polyneuropathy and myopathy. Critical care London, England ; 12 6 Increased duration of mechanical ventilation is associated with decreased diaphragmatic force: a prospective observational study.

Critical care London, England ; 14 4 :R Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Blood markers of oxidative stress predict weaning failure from mechanical ventilation. Journal of cellular and molecular medicine. Discontinuation of ventilatory support: new solutions to old dilemmas. Current opinion in critical care. European Respiratory Journal. The role of continuous positive airway pressure during weaning from mechanical ventilation in cardiac surgical patients.

Positive end-expiratory pressure vs T-piece. Extubation after mechanical ventilation. Pressure support versus T-tube for weaning from mechanical ventilation in adults. Cochrane Database of Systematic Reviews [Internet] A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. Evaluation of a knowledge-based system providing ventilatory management and decision for extubation. Neuroventilatory efficiency and extubation readiness in critically ill patients.

Critical care London, England ; 16 4 :R Predictors of prolonged weaning and survival during ventilator weaning in a respiratory ICU. Clinical relevance of classification according to weaning difficulty. Characteristics and outcomes of ventilated patients according to time to liberation from mechanical ventilation. Incidence and outcome of weaning from mechanical ventilation according to new categories. Differences in clinical outcomes according to weaning classifications in medical intensive care units.

PloS one. Patient-ventilator interactions: optimizing conventional ventilation modes. Weaning Patients from the Ventilator. New England Journal of Medicine. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. The Cochrane database of systematic reviews. Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children: a cochrane systematic review and meta-analysis.

Critical care London, England ; 19 1 Protocol-directed sedation versus non-protocol-directed sedation to reduce duration of mechanical ventilation in mechanically ventilated intensive care patients. Daily sedation interruption versus no daily sedation interruption for critically ill adult patients requiring invasive mechanical ventilation.

Outcomes of extubation failure in medical intensive care unit patients. Critical care medicine. The 'cuff-leak' test for extubation. Association between reduced cuff leak volume and postextubation stridor. Effects of steroids on reintubation and post-extubation stridor in adults: meta-analysis of randomised controlled trials. Critical care London, England ; 13 2 :R P urpose —. You do not currently have access to this content.

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