Thenar oxygen saturation (StO2) alterations during a spontaneous breathing trial predict extubation failure
نویسندگان
چکیده
منابع مشابه
Extubation with or without spontaneous breathing trial.
Purpose- To evaluate whether spontaneous breathing trials (SBTs) are necessary when extubating critical care patients. Methods- A prospective, randomized, double-blind study was performed in adult patients supported by mechanical ventilation for at least 48 hours in the general intensive care unit of a teaching hospital. Patients ready for weaning were randomly assigned to either the SBT group ...
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I read with great interest the article in CHEST by Silverman and colleagues1 (January 2007). I think that it is a very important article because is the first attempt to assess the performance of spirometry in an acute care setting. Thus, it is well established that the severity of airflow obstruction cannot be accurately judged by means of symptoms and physical examination. On presentation, aft...
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OBJECTIVE To derive a clinical prediction rule that uses bedside clinical variables to predict extubation failure (reintubation within 48 h) after a successful spontaneous breathing trial. METHODS This prospective observational cohort study was performed at the Northwestern Memorial Hospital in Chicago, Illinois, which is a large tertiary-care university hospital. Among 673 consecutive patien...
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The timing of extubation is crucial during critical illness, since either delayed or premature discontinuation from mechanical ventilation is associated with an increased risk of morbidity and mortality,1 and the literature suggests that an early identification of patients who are able to breathe spontaneously reduces the duration of mechanical ventilation and complication rate.1 However, even ...
متن کاملAbnormal Breathing Patterns Predict Extubation Failure in Neurocritically Ill Patients
In neurologically injured patients, predictors for extubation success are not well defined. Abnormal breathing patterns may result from the underlying neurological injury. We present three patients with abnormal breathing patterns highlighting failure of successful extubation as a result of these neurologically driven breathing patterns. Recognizing abnormal breathing patterns may be predictive...
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ژورنال
عنوان ژورنال: Annals of Intensive Care
سال: 2020
ISSN: 2110-5820
DOI: 10.1186/s13613-020-00670-y