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
Full text not available from this repository.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: | 09 Sep 2021 16:18 |
| URI: | https://arro.anglia.ac.uk/id/eprint/142897 |
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