Table 1.
Patient demographics.
Variables | All patients (n = 13) | Success (n = 7) | Failure (n = 6) |
---|---|---|---|
Neonatal data | |||
Birth weight (g) | 800 [610–920] | 920 [860–993] | 605 [600–618]** |
Gestational age (week) | 25.4 [24.4–26.3] | 26.3 [25.5–27.9] | 24.5 [23.7–25.3]* |
Weight at extubation (g) | 870 [775–990] | 990 [805–1110] | 825 [776–900] |
PMA at extubation (week) | 27.4 [26.6–28.7] | 28.1 [26.7–29.1] | 27.3 [26.7–27.5] |
Day of life at extubation (days) | 8 [4–25] | 7 [3–8] | 24 [20–27] |
Male sex | 9/13 (69) | 6/7 (88) | 3/6 (50) |
Pre-extubation blood gas | |||
pH | 7.35 [7.30–7.39] | 7.34 [7.27–7.35] | 7.38 [7.36–7.39] |
PCO2 (mmHg) | 47 [39–53] | 47 [39–51] | 46 [42–52] |
Base excess (mmol/L) | −0.8 [−4.4 to 1.9] | −3.9 [−5.2 to −1.9] | 1.9 [0.4–3.4] |
Total hemoglobin (g/L) | 133 [116–141] | 139 [119–150] | 129 [115–138] |
Pre-extubation settings | |||
Mechanical ventilation | |||
PEEP (cmH2O) | 5 [5, 6] | 5 [5, 6] | 5 [5, 6] |
Mean airway pressure (cmH2O) | 7.2 [6.2–7.9] | 7.2 [6.5–8.0] | 6.9 [6.3–7.7] |
Maximum FiO2 | 0.25 [0.21–0.29] | 0.24 [0.21–0.25] | 0.28 [0.25–0.31] |
Tidal volume (mL/kg)a | 4.8 [4.5–4.9] | 4.8 [4.8–5.3] | 4.6 [4.5–4.7] |
Ratea | 20 [10, 45] | 20 [20, 45] | 20 [10, 20] |
ETT-CPAP | |||
PEEP (cmH2O) | 5 [5, 6] | 5 [5, 6] | 5 [5, 6] |
Maximum FiO2 | 0.30 [0.24–0.32] | 0.24 [0.23–0.28] | 0.32 [0.30–0.38]* |
Extubation failure | |||
Time to reintubation | |||
Reintubation within 24 h | – | – | 4/6 (67) |
Reintubation within 72 h | – | – | 4/6 (67) |
Reintubation within 7 days | – | – | 6/6 (100) |
Reason for reintubation | |||
Apneas and bradycardias | – | – | 5/6 (83) |
Respiratory acidosis | – | – | 1/6 (17) |
PCA post-conceptional age, PCO2 partial pressure of carbon dioxide, PEEP positive end-expiratory pressure, FiO2 fraction of inspired oxygen, NCPAP nasal continuous positive airway pressure, NIPPV nasal intermittent positive airway pressure, NIV-NAVA noninvasive neurally adjusted ventilatory assist.
Values are presented as median [IQR], median [min, max], or n/N (%). All patients were on assisted control mode before extubation.
*P value <0.05 and **p value <0.01 for comparisons between extubation success vs. failure (Wilcoxon’s rank-sum test).
aBackup rate available for 10 patients.