Evaluation of the spontaneous breathing trial in burn intensive care patients

Smailes, Sarah T. and Martin, Rebecca V. and McVicar, Andrew J. (2009) Evaluation of the spontaneous breathing trial in burn intensive care patients. Burns: Journal of the International Society for Burn Injuries, 35 (5). pp. 665-671. ISSN 1879-1409

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Abstract

BACKGROUND: The extubation failure rate in our burn patients is 30%. OBJECTIVE: To evaluate the influence of the 30 min spontaneous breathing trial on extubation outcome in burn patients. METHODS: A prospective, observational study in a burn intensive care unit. All adult patients requiring mechanical ventilation for >24h and meeting the inclusion criteria underwent a 30 min spontaneous breathing trial (SBT). Extubation was undertaken after a successful SBT. RESULTS: Of 49 planned extubations, 9 failed (18%), much lower than the 30% extubation failure rate identified prior to the implementation of the SBT. The duration of ventilation was significantly shorter (p=0.04) in the patients who passed a SBT and those who failed extubation were significantly older (p=0.003). The logistic regression analysis identified that age independently predicted extubation outcome. Patients who failed extubation, after a successful SBT, had a significantly longer duration of ventilation (p=0.0001) and ITU length of stay (p=0.001). CONCLUSIONS: The incidence of extubation failure was much lower and the duration of ventilation significantly shorter in patients who were extubated after a successful SBT. These findings support the use of the SBT in burn patients. Age independently predicts extubation outcome in burn patients who have passed a SBT.

Item Type:	Journal Article
Keywords:	Ventilation, Extubation, Spontaneous breathing trial
Faculty:	ARCHIVED Faculty of Health, Social Care & Education (until September 2018)
Depositing User:	Repository Admin
Date Deposited:	22 Sep 2011 12:08
Last Modified:	14 Nov 2019 16:04
URI:	http://arro.anglia.ac.uk/id/eprint/142897

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