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https://www.ncbi.nlm.nih.gov/books/NBK482391/
Studies show that patients were more successful when pressure support was utilized for spontaneous breathing trials rather than t piece for a simple wean. T-piece trials are noted to have a less successful outcome partially because the pressure equalization provided by pressure support is removed and the patient is solely reliant upon his or ...
https://jamanetwork.com/journals/jama/fullarticle/2735502
Jun 11, 2019 · This randomized trial compares the effect of 30-minute pressure support vs 2-hour T-piece ventilation strategies in spontaneous breathing trials on rate of successful extubation among patients who had been receiving mechanical ventilation for at least 24 hours.Cited by: 10
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107186/
Aug 23, 2018 · Spontaneous breathing trials (SBT) using a T-piece or pressure-support ventilation (PSV) have a central role in this process. Our aim was to compare T-piece and PSV SBTs according to the duration of mechanical ventilation (MV) in patients with COPD.Author: José Augusto Santos Pellegrini, Márcio Manozzo Boniatti, Viviane M. Corrêa Boniatti, Crislene Cattel...
https://www.cochrane.org/CD006056/EMERG_weaning-mechanical-ventilation-using-pressure-support-or-t-tube-spontaneous-breathing-trial
May 27, 2014 · The ability to breathe spontaneously can be assessed with a spontaneous breathing trial using a T-tube (T-piece) or by reducing the applied airway pressure to provide low levels of pressure support (PS) (5 to 10 cm H 2O). After removal of the endotracheal tube (extubation) the patients are monitored for 48 hours.
https://clinicaltrials.gov/ct2/show/NCT01769053
Variable Pressure Support Trial (ViPS) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government.
https://clinicaltrials.gov/ct2/show/NCT00233324
Surfactant Positive Airway Pressure and Pulse Oximetry Trial (SUPPORT) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government.
http://www.pedsccm.org/FILE-CABINET/pccm/Ferguson-SBT_failure.pdf
Conclusions: A spontaneous breathing trial using pressure support set at higher levels for smaller endotracheal tubes over-estimates readiness for extubation in children and contributes to a higher failed extubation rate. The objective data obtained during an extubation readiness test …
https://www.medscape.com/viewarticle/430256
Nov 05, 2019 · Pressure support is a pressure-targeted mode of ventilatory support. Each inspiratory effort by the patient is augmented by an elevation in the airway pressure at …
https://pulmccm.org/randomized-controlled-trials/trach-collar-beats-pressure-support-trials-for-long-term-ventilator-weaning-rct-jama/
"Trach Collar" Trials Beat Pressure Support for Long-Term Ventilator Weaning. By Blair Westerly, MD. Patients requiring prolonged mechanical ventilation linger in ICUs and long-term acute care hospitals for weeks, accounting for a significant portion of intensive care unit costs and often suffering serious complications while dependent on the ventilator.
https://www.uptodate.com/contents/methods-of-weaning-from-mechanical-ventilation
Ezingeard E, Diconne E, Guyomarc'h S, et al. Weaning from mechanical ventilation with pressure support in patients failing a T-tube trial of spontaneous breathing. Intensive Care Med 2006; 32:165. Esteban A, Alía I, Gordo F, et al. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation.
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