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https://litfl.com/spontaneous-breathing-trial/
Sep 14, 2019 · Tobin argues for wider use of true T-piece spontaneous breathing trials, especially in those at high risk of failed extubation and when the consequences of failed extubation may be catastrophic; An alternative is to have the ventilator set on “flow …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107186/
Aug 23, 2018 · Little is known about the best strategy for weaning patients with chronic obstructive pulmonary disease (COPD) from mechanical ventilation. Spontaneous breathing trials (SBT) using a T-piece or pressure-support ventilation (PSV) have a central role in ...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 · Weaning from mechanical ventilation using pressure support or a T-tube for a spontaneous breathing trial. Patients with severe lung disease, such as acute respiratory failure, may require invasive mechanical ventilation through an endotracheal tube or tracheostomy until their underlying disease is either treated or stabilized.
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/PMC4893753/
The term "weaning" is used to describe the gradual process of decreasing ventilator support. It is estimated that 40% of the duration of mechanical ventilation is dedicated to the process of weaning. Spontaneous breathing trial (SBT) assesses the patient's ability to breathe while receiving minimal ...Cited by: 3
https://www.atsjournals.org/doi/full/10.1164/rccm.201607-1338OC
Jun 01, 2017 · Pressure support significantly reduces work of breathing and pressure–time product compared with other SBTs, but T-piece and being on the ventilator with zero pressure support or positive end-expiratory pressure represent similar respiratory physiology compared with postextubation values. ... A spontaneous breathing trial (SBT) is most often ...Cited by: 26
https://www.sciencedirect.com/topics/medicine-and-dentistry/spontaneous-breathing-trial
BOX 15-2. Spontaneous Breathing (Weaning) Trial Protocol. 1. Begin the trial by switching the ventilator mode from synchronized intermittent mandatory ventilation (SIMV) or continuous mandatory ventilation (CMV) to continuous positive airway pressure (CPAP) with pressure support (PS) of 5 cm H 2 O.. 2.
https://clinicaltrials.gov/ct2/show/NCT01464567
Nov 03, 2011 · Spontaneous Breathing Trials Using Pressure-Support or T-Tube in Chronic Obstructive Pulmonary Disease Patients Weaning Mechanical Ventilation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators.
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