Methods In this retrospective case note study we looked at the outcome of each extubation between 1st October 2013 and 30th September 2014. We included all patients >18 years of age invasively ventilated for >48 hours. We excluded patients proceeding directly to tracheostomy or extubated for withdrawal of care. Failed extubation was defined as the need for reintubation within 5 days of planned ...

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...

introduction: response to tracheal tube during emergence of general anesthesia is a main concern. we aimed to compare the effect of remifentanil and lidocaine on response to tracheal tube during emergence of general anesthesia. materials and methods: in this randomized clinical trial, we enrolled 80 consecutive patients with american society of anesthesiology (asa) physical status i–ii, who und...

We conducted this study to find out the incidence of extubation failure (EF) in ventilated neonates and associated clinical risk factors. Eighty two ventilated neonates were followed up to 48 hours post extubation to look for EF. Twenty two babies (26.8%) had EF. The common risk factors for EF were presence of patent ductus arteriosus, post-extubation lung collapse and acquired pneumonia. The d...

OBJECTIVE To report successful cases of extubation from invasive mechanical ventilation at our institution using pulmonary rehabilitation consisting of noninvasive ventilation (NIV) in neuromuscular patients with experience of reintubation. METHODS Patients who experienced extubation failure via the conventional weaning strategy but afterwards had extubation success via NIV were studied retro...

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 ...

We investigated failure predictors for the planned extubation of overweight (body mass index [BMI] = 25.0-29.9) and obese (BMI ≥ 30) patients. All patients admitted to the adult intensive care unit (ICU) of a tertiary hospital in Taiwan were identified. They had all undergone endotracheal intubation for > 48 h and were candidates for extubation. During the study, 595 patients (overweight = 458 ...

BACKGROUND Mechanical ventilation (MV) strategies are continuously evolving in an effort to minimize adverse events. The objective of this study was to determine the complications associated with MV in children. STUDY DESIGN Prospective observational study. Over a period of 10 consecutive months, 150 patients (median age 0.8 years, IQR 4.4, 59% male) were enrolled in this study. RESULTS The...