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ICM Pulse: Can rest after a spontaneous breathing trial reduce reintubation?

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Published on May 29, 2018

Free Access to this article: Fernandez et al. Reconnection to mechanical ventilation for 1 h after a successful spontaneous breathing trial reduces reintubation in critically ill patients: a multicentre randomised controlled trial. Intensive Care Med, Nov 2017, Vol 43, Iss 11, pp 1660-1667 DOI: 10.1007/s00134-017-4911-0.
LINK - https://bit.ly/2wpM8bR

In some countries, current clinical practice allows patients to rest after the effort of breathing without the ventilator and while waiting the physician’s order to proceed to extubation. In some studies, investigators reconnected patients to the ventilator for a period after successful spontaneous breathing trials to determine whether minute ventilation recovery was a predictor of extubation outcome, and inadvertently enabled patients to rest for some hours before extubation.

This ICM Pulse discusses a study that focused on examining the role of rest after the effort of a successful spontaneous breathing trial and showed that rest for one hour after a successful spontaneous breathing trial reduces reintubation.

Read the article (Free Access): Fernandez et al. Reconnection to mechanical ventilation for 1 h after a successful spontaneous breathing trial reduces reintubation in critically ill patients: a multicentre randomised controlled trial. Intensive Care Med, Nov 2017, Vol 43, Iss 11, pp 1660-1667 DOI: 10.1007/s00134-017-4911-0:
LINK: https://bit.ly/2wpM8bR

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https://bit.ly/2wpM8bR
2019/07/11 12:32