Association Between Pressure Support During Extubation Readiness Testing and Time to First Extubation in Children With Congenital Heart Disease.

ABSTRACT:

Background

Extubation readiness testing (ERT) is often performed in children with congenital heart disease prior to liberation from mechanical ventilation. The ideal ERT method in this population is unknown. We recently changed our ERT method from variable (10, 8, or 6 cm H₂O, depending on endotracheal tube size) to fixed (5 cm H₂O) pressure support (PS). Our study assessed the association between this change and time to first extubation and need for re-intubation.

Methods

We studied 2 temporally distinct cohorts, one where ERT was conducted with variable PS and another using PS fixed at 5 cm H₂O. Data were prospectively collected as part of a quality improvement project. The primary outcome was time to first extubation. Secondary outcomes we

SUBMITTER: Miller AG 

PROVIDER: S-EPMC10027143 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature