Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously

New England Journal of Medicine

Volumn 335, Issue 25, 1996, Pages 1864-1869

  Ely, E Wesley ^a   Baker, Albert M ^b   Dunagan, Donnie P ^a   Burke, Henry L ^a   Smith, Allen C ^a   Kelly, Patrick T ^a   Johnson, Margaret M ^c   Browder, Rick W ^a   Bowton, David L ^a   Haponik, Edward F ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

^b Lynchburg Pulmonary Associates   (United States)

^c MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BREATHING; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST BENEFIT ANALYSIS; EXTUBATION; FEMALE; HEALTH CARE COST; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; PATIENT CODING; PHYSICIAN; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY FAILURE;

ADULT; AGED; FEMALE; HOSPITAL COSTS; HUMANS; INTENSIVE CARE; MALE; MIDDLE AGED; PROPORTIONAL HAZARDS MODELS; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; SURVIVAL ANALYSIS; TIME FACTORS; VENTILATOR WEANING;

EID: 10544248173     PISSN: 00284793     EISSN: None     Source Type: Journal    
DOI: 10.1056/NEJM199612193352502     Document Type: Article

References (30)

1. Sahn SA, Lakshminarayan S. Bedside criteria for discontinuation of mechanical ventilation. Chest 1973;63:1002-5.
2. Esteban A, Frutos F, Tobin MJ, et al. A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med 1995;332: 345-50.
3. Brochard L, Rauss A, Benito S, et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994;150;896-903.
4. Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 1991;324:1445-50.
5. Mohsenifar Z, Hay A, Hay J, Lewis MI, Koerner SK. Gastric intramural pH as a predictor of success or failure in weaning patients from mechanical ventilation. Ann Intern Med 1993;119:794-8.
6. Gluck EH, Barkoviak MJ, Balk RA, Casey LC, Silver MR, Bone RC. Medical effectiveness of esophageal balloon pressure manometry in weaning patients from mechanical ventilation. Crit Care Med 1995;23:504-9.
7. Strickland JH Jr, Hasson JH. A computer-controlled ventilator weaning system: a clinical trial. Chest 1993;103:1220-6.
8. Shikora SA, Benotti PN, Johannigman JA. The oxygen cost of breathing may predict weaning from mechanical ventilation better than the respiratory rate to tidal volume ratio. Arch Surg 1994;129:269-74.
9. Sassoon CS, Mahutte CK. Airway occlusion pressure and breathing pattern as predictors of weaning outcome. Am Rev Respir Dis 1993;148:860-6.
10. Gandia F, Blanco J. Evaluation of indexes predicting the outcome of ventilator weaning and value of adding supplemental inspiratory load. Intensive Care Med 1992;18:327-33.
11. Epstein SK. Etiology of extubation failure and the predictive value of the rapid shallow breathing index. Am J Respir Crit Care Med 1995;152: 545-9.
12. Capdevila XJ, Perrigault PF, Percy PJ, Roustan JP, d'Athis F. Occlusion pressure and its ratio to maximum inspiratory pressure are useful predictors for successful extubation following T-piece weaning trial. Chest 1995;108: 482-9.
13. Yang KL. Inspiratory pressure/maximal inspiratory pressure ratio: a predictive index of weaning outcome. Intensive Care Med 1993;19:204-8.
14. Dojat M, Harf A, Touchard D, Laforest M, Lemaire F, Brochard L. Evaluation of a knowledge-based system providing ventilatory management and decision for extubation. Am J Respir Crit Care Med 1996;153:997-1004.
15. Yang KL. Reproducibility of weaning parameters: a need for standardization. Chest 1992;102:1829-32.
16. Cohen IL, Bari N, Strosberg MA, et al. Reduction of duration and cost of mechanical ventilation in an intensive care unit by use of a ventilatory management team. Crit Care Med 1991;19:1278-84.
17. Stroetz RW, Hubmayr RD. Tidal volume maintenance during weaning with pressure support. Am J Respir Crit Care Med 1995;152:1034-40.
18. Listello D, Sessler C. Unplanned extubation: clinical predictors for reintubation. Chest 1994;105:1496-503.
19. Tindol GA Jr, DiBenedetto RJ, Kosciuk L. Unplanned extubations. Chest 1994;105:1804-7.
20. Schulz KF. Subverting randomization in controlled trials. JAMA 1995; 274:1456-8.
21. Bland M. An introduction to medical statistics. Oxford, England: Oxford University Press, 1987.
22. Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc 1958;53:457-81.
23. Cox DR. Regression models and life-tables. J R Stat Soc [B] 1972;34: 187-220.
24. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity ot disease classification system. Crit Care Med 1985;13:818-29.
25. Murray JF, Matthay MA, Luce JM, Flick MR. An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 1988;138: 720-3. [Erratum, Am Rev Respir Dis 1989;139:1065.]
26. Hall JB, Wood LD. Liberation of the patient from mechanical ventilation. JAMA 1987;257:1621-8.
27. Mador MJ. Weaning parameters: are they clinically useful? Chest 1992; 102:1642-3.
28. Weinberger SE, Weiss JW. Weaning from ventilatory support. N Engl J Med 1995;332:388-9.
29. Torres A, Gatell JM, Aznar E, et al. Re-intubation increases the risk of nosocomial pneumonia in patients needing mechanical ventilation. Am J Respir Crit Care Med 1995;152:137-41.
30. Cohen IL. Weaning from mechanical ventilation - the team approach and beyond. Intensive Care Med 1994;20:317-8.