Effect of Using the Rapid Shallow Breathing Index as Readiness Criterion for Spontaneous Breathing Trials in a Weaning Protocol
This study aimed to compare the effect of using versus not using the Rapid-Shallow Breathing Index (RSBI) as a readiness criterion for Spontaneous Breathing Trials (SBT) on SBT success. Daily readiness screens were performed within a respiratory therapist-driven weaning protocol. Patients who passed...
Gespeichert in:
| Veröffentlicht in: | The American journal of the medical sciences 2020-02, Vol.359 (2), p.117-122 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 122 |
|---|---|
| container_issue | 2 |
| container_start_page | 117 |
| container_title | The American journal of the medical sciences |
| container_volume | 359 |
| creator | Figueroa-Casas, Juan B. Montoya, Ricardo Garcia-Blanco, Jose Lehker, Angelica Hussein, Ahmed M. Abdulmunim, Haider Kabbach, Giselle Mahfoud, Antonyos |
| description | This study aimed to compare the effect of using versus not using the Rapid-Shallow Breathing Index (RSBI) as a readiness criterion for Spontaneous Breathing Trials (SBT) on SBT success.
Daily readiness screens were performed within a respiratory therapist-driven weaning protocol. Patients who passed these screens underwent a one-time measurement of the RSBI and then a SBT regardless of RSBI result. The proportion of passed readiness screens reaching SBT success was compared to the proportion that would have been obtained if RSBI ≤ 105 br/min/L had been used as an additional screen criterion.
Two hundred and fifty SBTs performed on 157 patients were analyzed. The sensitivity of RSBI ≤ 105 br/min/L to predict SBT success was 94.8% (95% CI 90.6-97.5). Relative to potentially using RSBI, 14.4% additional SBTs were performed. A third of these were successful, and no complications were detected in the rest that failed. The proportion of passed readiness screens reaching SBT success would have been 4% (95% CI 1.2-6.8) (P = 0.002) lower if RSBI had been used.
The inclusion of the RSBI in a readiness screen may not be useful in a weaning protocol. |
| doi_str_mv | 10.1016/j.amjms.2019.11.002 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2353013076</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002962919303957</els_id><sourcerecordid>2353013076</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4042-58fc431536d9d18385580ee59aa7665c95d9c7c9d2b028f5874109e1e77ac7d53</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EotuFX4CEfOSSMLbjJD5wgFUplSqB-iGOlmtPiJdsvNjZLpz46zikIE5YlizNvO_M-BlCXjAoGbD69bY0u-0ulRyYKhkrAfgjsmJStAVXCh6TFeRQoWquTshpSlsAxlsmnpITwUGophYr8vOs69BONHT0NvnxC516pFdm7x297s0whCN9F9FM_Zy7GB1-pybRKzTOj5gS3UQ_YfRhpF2I9HofxsmMGA7pH9tN9GZI1I_U0M9oxjn2KYYp2DA8I0-6nMTnD--a3L4_u9l8KC4_nl9s3l4WtoKKF7LtbCXy32qnHGtFK2ULiFIZ09S1tEo6ZRurHL8D3naybSoGChk2jbGNk2JNXi119zF8O2Ca9M4ni8OwTKu5kAKYgAxlTcQitTGkFLHT--h3Jv7QDPRMXm_1b_J6Jq8Z0xlzdr18aHC426H76_mDOguqRXAMQ0aWvg6HI0bdoxmmPpfIp6pYwYHDfKGAeV_Z9maxYaZz77MjWY-jRedjXpx2wf93rl_FAaUJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2353013076</pqid></control><display><type>article</type><title>Effect of Using the Rapid Shallow Breathing Index as Readiness Criterion for Spontaneous Breathing Trials in a Weaning Protocol</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Figueroa-Casas, Juan B. ; Montoya, Ricardo ; Garcia-Blanco, Jose ; Lehker, Angelica ; Hussein, Ahmed M. ; Abdulmunim, Haider ; Kabbach, Giselle ; Mahfoud, Antonyos</creator><creatorcontrib>Figueroa-Casas, Juan B. ; Montoya, Ricardo ; Garcia-Blanco, Jose ; Lehker, Angelica ; Hussein, Ahmed M. ; Abdulmunim, Haider ; Kabbach, Giselle ; Mahfoud, Antonyos</creatorcontrib><description>This study aimed to compare the effect of using versus not using the Rapid-Shallow Breathing Index (RSBI) as a readiness criterion for Spontaneous Breathing Trials (SBT) on SBT success.
Daily readiness screens were performed within a respiratory therapist-driven weaning protocol. Patients who passed these screens underwent a one-time measurement of the RSBI and then a SBT regardless of RSBI result. The proportion of passed readiness screens reaching SBT success was compared to the proportion that would have been obtained if RSBI ≤ 105 br/min/L had been used as an additional screen criterion.
Two hundred and fifty SBTs performed on 157 patients were analyzed. The sensitivity of RSBI ≤ 105 br/min/L to predict SBT success was 94.8% (95% CI 90.6-97.5). Relative to potentially using RSBI, 14.4% additional SBTs were performed. A third of these were successful, and no complications were detected in the rest that failed. The proportion of passed readiness screens reaching SBT success would have been 4% (95% CI 1.2-6.8) (P = 0.002) lower if RSBI had been used.
The inclusion of the RSBI in a readiness screen may not be useful in a weaning protocol.</description><identifier>ISSN: 0002-9629</identifier><identifier>EISSN: 1538-2990</identifier><identifier>DOI: 10.1016/j.amjms.2019.11.002</identifier><identifier>PMID: 32039763</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Female ; Humans ; Male ; Mechanical ventilation ; Middle Aged ; Respiratory Mechanics ; Ventilator Weaning</subject><ispartof>The American journal of the medical sciences, 2020-02, Vol.359 (2), p.117-122</ispartof><rights>2019 Southern Society for Clinical Investigation</rights><rights>Copyright © 2020 by the Southern Society for Clinical Investigation. Unauthorized reproduction of this article is prohibited.</rights><rights>Copyright © 2019 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4042-58fc431536d9d18385580ee59aa7665c95d9c7c9d2b028f5874109e1e77ac7d53</citedby><cites>FETCH-LOGICAL-c4042-58fc431536d9d18385580ee59aa7665c95d9c7c9d2b028f5874109e1e77ac7d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32039763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Figueroa-Casas, Juan B.</creatorcontrib><creatorcontrib>Montoya, Ricardo</creatorcontrib><creatorcontrib>Garcia-Blanco, Jose</creatorcontrib><creatorcontrib>Lehker, Angelica</creatorcontrib><creatorcontrib>Hussein, Ahmed M.</creatorcontrib><creatorcontrib>Abdulmunim, Haider</creatorcontrib><creatorcontrib>Kabbach, Giselle</creatorcontrib><creatorcontrib>Mahfoud, Antonyos</creatorcontrib><title>Effect of Using the Rapid Shallow Breathing Index as Readiness Criterion for Spontaneous Breathing Trials in a Weaning Protocol</title><title>The American journal of the medical sciences</title><addtitle>Am J Med Sci</addtitle><description>This study aimed to compare the effect of using versus not using the Rapid-Shallow Breathing Index (RSBI) as a readiness criterion for Spontaneous Breathing Trials (SBT) on SBT success.
Daily readiness screens were performed within a respiratory therapist-driven weaning protocol. Patients who passed these screens underwent a one-time measurement of the RSBI and then a SBT regardless of RSBI result. The proportion of passed readiness screens reaching SBT success was compared to the proportion that would have been obtained if RSBI ≤ 105 br/min/L had been used as an additional screen criterion.
Two hundred and fifty SBTs performed on 157 patients were analyzed. The sensitivity of RSBI ≤ 105 br/min/L to predict SBT success was 94.8% (95% CI 90.6-97.5). Relative to potentially using RSBI, 14.4% additional SBTs were performed. A third of these were successful, and no complications were detected in the rest that failed. The proportion of passed readiness screens reaching SBT success would have been 4% (95% CI 1.2-6.8) (P = 0.002) lower if RSBI had been used.
The inclusion of the RSBI in a readiness screen may not be useful in a weaning protocol.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mechanical ventilation</subject><subject>Middle Aged</subject><subject>Respiratory Mechanics</subject><subject>Ventilator Weaning</subject><issn>0002-9629</issn><issn>1538-2990</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EotuFX4CEfOSSMLbjJD5wgFUplSqB-iGOlmtPiJdsvNjZLpz46zikIE5YlizNvO_M-BlCXjAoGbD69bY0u-0ulRyYKhkrAfgjsmJStAVXCh6TFeRQoWquTshpSlsAxlsmnpITwUGophYr8vOs69BONHT0NvnxC516pFdm7x297s0whCN9F9FM_Zy7GB1-pybRKzTOj5gS3UQ_YfRhpF2I9HofxsmMGA7pH9tN9GZI1I_U0M9oxjn2KYYp2DA8I0-6nMTnD--a3L4_u9l8KC4_nl9s3l4WtoKKF7LtbCXy32qnHGtFK2ULiFIZ09S1tEo6ZRurHL8D3naybSoGChk2jbGNk2JNXi119zF8O2Ca9M4ni8OwTKu5kAKYgAxlTcQitTGkFLHT--h3Jv7QDPRMXm_1b_J6Jq8Z0xlzdr18aHC426H76_mDOguqRXAMQ0aWvg6HI0bdoxmmPpfIp6pYwYHDfKGAeV_Z9maxYaZz77MjWY-jRedjXpx2wf93rl_FAaUJ</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Figueroa-Casas, Juan B.</creator><creator>Montoya, Ricardo</creator><creator>Garcia-Blanco, Jose</creator><creator>Lehker, Angelica</creator><creator>Hussein, Ahmed M.</creator><creator>Abdulmunim, Haider</creator><creator>Kabbach, Giselle</creator><creator>Mahfoud, Antonyos</creator><general>Elsevier Inc</general><general>Copyright by the Southern Society for Clinical Investigation. Unauthorized reproduction of this article is prohibited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202002</creationdate><title>Effect of Using the Rapid Shallow Breathing Index as Readiness Criterion for Spontaneous Breathing Trials in a Weaning Protocol</title><author>Figueroa-Casas, Juan B. ; Montoya, Ricardo ; Garcia-Blanco, Jose ; Lehker, Angelica ; Hussein, Ahmed M. ; Abdulmunim, Haider ; Kabbach, Giselle ; Mahfoud, Antonyos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4042-58fc431536d9d18385580ee59aa7665c95d9c7c9d2b028f5874109e1e77ac7d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mechanical ventilation</topic><topic>Middle Aged</topic><topic>Respiratory Mechanics</topic><topic>Ventilator Weaning</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Figueroa-Casas, Juan B.</creatorcontrib><creatorcontrib>Montoya, Ricardo</creatorcontrib><creatorcontrib>Garcia-Blanco, Jose</creatorcontrib><creatorcontrib>Lehker, Angelica</creatorcontrib><creatorcontrib>Hussein, Ahmed M.</creatorcontrib><creatorcontrib>Abdulmunim, Haider</creatorcontrib><creatorcontrib>Kabbach, Giselle</creatorcontrib><creatorcontrib>Mahfoud, Antonyos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of the medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Figueroa-Casas, Juan B.</au><au>Montoya, Ricardo</au><au>Garcia-Blanco, Jose</au><au>Lehker, Angelica</au><au>Hussein, Ahmed M.</au><au>Abdulmunim, Haider</au><au>Kabbach, Giselle</au><au>Mahfoud, Antonyos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Using the Rapid Shallow Breathing Index as Readiness Criterion for Spontaneous Breathing Trials in a Weaning Protocol</atitle><jtitle>The American journal of the medical sciences</jtitle><addtitle>Am J Med Sci</addtitle><date>2020-02</date><risdate>2020</risdate><volume>359</volume><issue>2</issue><spage>117</spage><epage>122</epage><pages>117-122</pages><issn>0002-9629</issn><eissn>1538-2990</eissn><abstract>This study aimed to compare the effect of using versus not using the Rapid-Shallow Breathing Index (RSBI) as a readiness criterion for Spontaneous Breathing Trials (SBT) on SBT success.
Daily readiness screens were performed within a respiratory therapist-driven weaning protocol. Patients who passed these screens underwent a one-time measurement of the RSBI and then a SBT regardless of RSBI result. The proportion of passed readiness screens reaching SBT success was compared to the proportion that would have been obtained if RSBI ≤ 105 br/min/L had been used as an additional screen criterion.
Two hundred and fifty SBTs performed on 157 patients were analyzed. The sensitivity of RSBI ≤ 105 br/min/L to predict SBT success was 94.8% (95% CI 90.6-97.5). Relative to potentially using RSBI, 14.4% additional SBTs were performed. A third of these were successful, and no complications were detected in the rest that failed. The proportion of passed readiness screens reaching SBT success would have been 4% (95% CI 1.2-6.8) (P = 0.002) lower if RSBI had been used.
The inclusion of the RSBI in a readiness screen may not be useful in a weaning protocol.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32039763</pmid><doi>10.1016/j.amjms.2019.11.002</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9629 |
| ispartof | The American journal of the medical sciences, 2020-02, Vol.359 (2), p.117-122 |
| issn | 0002-9629 1538-2990 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2353013076 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Female Humans Male Mechanical ventilation Middle Aged Respiratory Mechanics Ventilator Weaning |
| title | Effect of Using the Rapid Shallow Breathing Index as Readiness Criterion for Spontaneous Breathing Trials in a Weaning Protocol |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T09%3A12%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20Using%20the%20Rapid%20Shallow%20Breathing%20Index%20as%20Readiness%20Criterion%20for%20Spontaneous%20Breathing%20Trials%20in%20a%20Weaning%20Protocol&rft.jtitle=The%20American%20journal%20of%20the%20medical%20sciences&rft.au=Figueroa-Casas,%20Juan%20B.&rft.date=2020-02&rft.volume=359&rft.issue=2&rft.spage=117&rft.epage=122&rft.pages=117-122&rft.issn=0002-9629&rft.eissn=1538-2990&rft_id=info:doi/10.1016/j.amjms.2019.11.002&rft_dat=%3Cproquest_cross%3E2353013076%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2353013076&rft_id=info:pmid/32039763&rft_els_id=S0002962919303957&rfr_iscdi=true |