Physiological predictors of respiratory and cough assistance needs after extubation.

ABSTRACT:

Background

Identifying patients at high risk of post-extubation acute respiratory failure requiring respiratory or mechanical cough assistance remains challenging. Here, our primary aim was to evaluate the accuracy of easily collected parameters obtained before or just after extubation in predicting the risk of post-extubation acute respiratory failure requiring, at best, noninvasive mechanical ventilation (NIV) and/or mechanical cough assistance and, at worst, reintubation after extubation.

Methods

We conducted a multicenter prospective, open-label, observational study from April 2012 through April 2015. Patients who passed a weaning test after at least 72 h of endotracheal mechanical ventilation (MV) were included. Just before extubation, spirometry and maximal pressures w

SUBMITTER: Terzi N 

PROVIDER: S-EPMC5799095 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature