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The Decision to Extubate: The Association between Clinician Impressions and Objective Extubation Readiness Criteria in a Pediatric Intensive Care Unit.


ABSTRACT: Objective  Objective tools such as spontaneous breathing trials (SBT) aim to identify patients ready for extubation and shorten the length of mechanical ventilation (MV). Despite passing an SBT, patients sometimes are not extubated based on clinicians' subjective impressions. In this article, we explored the factors that influence the decision to extubate among pediatric intensivists and their association with objective criteria. Design  This is a single-center prospective observational study. Setting  This study was conducted in an academic, multidisciplinary 20-bed pediatric intensive care unit (PICU). Patients  The study group involves mechanically ventilated, orally intubated patients admitted to the PICU from January 1 to June 30, 2019. Measurements and

SUBMITTER: Marupudi NK 

PROVIDER: S-EPMC11379530 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature