Table 1.
Variable | Number of studies (%) |
---|---|
Spontaneous breathing trial | |
T piece | 15 (22.4%) |
Low pressure support with zero-end expiratory pressure | 6 (9.0%) |
Continuous positive airway pressure | 3 (4.5%) |
Other | 33 (49.3%) |
Not available | 10 (14.8%) |
Duration of SBT | |
30 min | 12 (17.9%) |
60 min | 8 (11.9%) |
120 min | 13 (19.4%) |
Variable* | 21 (31.3%) |
Not available | 12 (17.9%) |
Definition of SBT failure | |
Respiratory rate | 43 (64.2%) |
Increased breathing work or distress signs | 31 (46.9%) |
Arterial oxygen saturation | 39 (58.2%) |
PaO2 | 8 (11.9%) |
PaCO2 | 10 (14.9%) |
Tidal volume or minute ventilation or RSBI | 11 (16.4%) |
Heart rate | 36 (53.7%) |
Arterial pressure or introduction of vasopressive drug | 36 (53.7%) |
Neurological criteria | 38 (56.7%) |
Not available | 20 (29.9%) |
Definition of extubation failure | |
Death or reintubation | |
Within 24 h | 4 (6.0%) |
Within 48 h | 30 (44.8%) |
Within 72 h | 14 (20.9%) |
Within 7 days | 5 (7.5%) |
At any time until discharge or death | 4 (6.0%) |
Reintubation or curative non-invasive mechanical ventilation | 10 (14.9%) |
SBT spontaneous breathing trial, PaO2 partial pressure of oxygen, PaCO2 partial pressure of carbon dioxide, RSBI Rapid Shallow Breathing Index, * from 30 min to 12 h