The unassisted respiratory rate-tidal volume ratio accurately predicts weaning outcome

American Journal of Medicine

Volumn 101, Issue 1, 1996, Pages 61-67

  Chatila, Wissam ^a   Jacob, Badie ^a   Guaglionone, Denise ^a   Manthous, Constantine A ^a,b  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b BRIDGEPORT HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BREATHING PATTERN; BREATHING RATE; FEMALE; HUMAN; INSPIRATORY CAPACITY; LUNG MINUTE VOLUME; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; TIDAL VOLUME;

EID: 0030198655     PISSN: 00029343     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0002-9343(96)00064-2     Document Type: Article

References (23)

1. 1. Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med. 1991;324:1445-1450.
2. 2. Tobin MJ, Perez W, Guenther SM, et al. The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis. 1986;134:1111-1118.
3. 3. Lee KH, Hui KP, Chan TB, Tan WC, Lim TK. Rapid shallow breathing (frequency-tidal volume ratio) did not predict extubation outcome. Chest. 1994;105:540-543.
4. 4. Epstein SK. Evaluation of the rapid shallow breathing index (RVR) in the clinical setting. Am J Respir Crit Care Med. 1995;152:545-549.
5. 5. Leitch EA, Moran JL, Grealy B. Weaning and extubation in the intensive care unit: clinical or index driven approach? Am J Respir Crit Care Med. 1994;149(4):A634.
6. 6. Metz CE. Basic principles of ROC analysis. Semin Nucl Med. 1978;8:283-298.
7. 7. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system. Crit Care Med. 1985;13:818-829.
8. 8. Eastwood PR, Hillman DR, Finucane KE. Ventilatory responses to inspiratory threshold loading and role of muscle fatigue in task failure. J Appl Physiol. 1994;76:185-195.
9. 9. Hall JB, Wood LDH. Liberation of the patient from mechanical ventilation. JAMA. 1987;257:1621-1628.
10. 10. Manthous CA, Hall JB, Schmidt GA, Kushner R, Wood LDH. The effect of assist control ventilation and muscle relaxation on oxygen consumption in critical illness. Am J Respir Crit Care Med. 1995;151:210-214.
11. 11. Knochel JP. Neuromuscular manifestations of electrolyte disorders. Am J Med. 1982;72:521-533.
12. 12. Agus ZS, Wasserstein A, Goldfarb S. Disorders of calcium homeostasis. Am J Med. 1982;72:473-488.
13. 13. Aubier M, Murciano D, Lecocguicy Y, Viires N, Jacquens Y, Squara P, Parienti R. Effect of hypophosphatemia on diaphragmatic contractility in patients with acute respiratory failure. N Engl J Med. 1985;313:420-424.
14. 14. Whittaker JS, Ryan CF, Buckley PA, Road JD. The effects of refeeding on peripheral and respiratory muscle function in malnourished chronic obstructive pulmonary disease patients. Am Rev Respir Dis. 1990;142:283-288 .
15. 15. Wood LDH. The respiratory system. In: Hall, Schmidt, and Wood, eds. Principles of Critical Care. New York: McGraw-Hill; 1992:3-25.
16. 16. Tahvanainen J, Salmenpera M, Nikki P. Extubation criteria after weaning from intermittent mandatory ventilation and continous positive airway pressure. Crit Care Med. 1983;11(9):702-707.
17. 17. Sahn SA, Lakshminarayan S. Bedside criteria for discontinuation of mechanical ventilation. Chest. 1973;63:1002-1005.
18. 18. Chatila W, Haddad R, Manthous CA. Hemodynamic and gas exchange effects of CPAP versus T-piece breathing. Chest. 1994;106(2):143S.
19. 19. Fisher MM, Raper RF. The 'cuff-leak' test for extubation. Anaesthesia. 1992;47(1):10-12.
20. 20. Pingleton SK. Complications of acute respiratory failure. Am Rev Respir Dis. 1988;137:1463-1493.
21. 21. Esteban A, Frutos F, Tobin MJ, Inmaculada A, Solsona JF, Valverdu I, et al. A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med. 1995;332:345-350.
22. 22. Anton WR, Wilhelm P, Jordan T. Reduction of length of time on mechanical ventilation by use of a multidisciplinary weaning protocol. Respir Care. 1992;37:1279-1282.
23. 23. Cohen IL, Bari N, Strosberg MA, Weinberg PF, Wacksman RM, Millstein BH, Fein IA. Reduction of duration and cost of mechanical ventilation in an intensive care unit by use of a ventilatory management team. Crit Care Med. 1991;19:1278-1284.