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The Weaning Index combining EtCO2 and respiratory rate early identifies Spontaneous Breathing trial failure. A pilot study
- Source :
- Minerva Anestesiologica, Minerva Anestesiologica, Edizione Minerva Medica, 2019, 85 (4), pp.384-392. ⟨10.23736/S0375-9393.18.13108-7⟩
- Publication Year :
- 2019
- Publisher :
- HAL CCSD, 2019.
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Abstract
- International audience; BACKGROUND: We aimed to evaluate the predictive value of the end-tidal CO2 (EtCO2) alone or combined with ventilation related parameters on spontaneous breathing trial (SBT) outcome on mechanically ventilated patients.METHODS: Prospective observational study in a medical ICU. Mechanically ventilated adult patients who met predefined criteria for weaning were included. Patients underwent a T-piece SBT for 30 minutes and the usual hemodynamic and respiratory clinical parameters including EtCO2 were recorded every 5 minutes.RESULTS: 280 patients were studied (age: 64±17 years, SAPS II: 44 [34-56]) during a first SBT and 76 patients during a second SBT. The Weaning Index, defined as the product of the respiratory rate and EtCO2, was a strong early predictive factor of SBT outcome; at 10 minutes, the area under the curve (AUC) was 86% ([80-90], P1100 identified patients that will not successfully complete the SBT at 30 minutes with a specificity of 98%.CONCLUSIONS: In unselected mechanically ventilated patients, the Weaning Index is helpful to early identify patients who will fail the SBT during a first and a second trial.
Details
- Language :
- English
- ISSN :
- 03759393
- Database :
- OpenAIRE
- Journal :
- Minerva Anestesiologica, Minerva Anestesiologica, Edizione Minerva Medica, 2019, 85 (4), pp.384-392. ⟨10.23736/S0375-9393.18.13108-7⟩
- Accession number :
- edsair.dedup.wf.001..89284154a0f08d3a9ea9c6ed5271fbc2