Rapid shallow breathing index and its predictive accuracy measured under five different ventilatory strategies in the same patient group

Chinese Journal of Physiology

Volumn 53, Issue 1, 2010, Pages 1-10

  Bien, Mauo Ying ^a,b   Lin, You Shuei ^a   Shie, Huei Guan ^a,c   Yang, You Lan ^a,b   Shih, Chung Hung ^a,b   Wang, Jia Horng ^a,c   Cheng, Kuo Chen ^a,d,e  

^a TAIPEI MEDICAL UNIVERSITY   (Taiwan)

^b TAIPEI MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^c TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

^d NATIONAL DEFENSE MEDICAL CENTER   (Taiwan)

^e CHI MEI MEDICAL CENTER   (Taiwan)

Author keywords

Continuous positive airway pressure; Mechanical ventilation; Rapid shallow breathing index; Receiver operating characteristic curve; Ventilator weaning

Indexed keywords

ACCURACY; AGED; AREA UNDER THE CURVE; ARTICLE; ARTIFICIAL VENTILATION; BREATHING MECHANICS; BREATHING RATE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CONTROLLED STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; OXYGEN BREATHING; OXYGEN SATURATION; POSITIVE END EXPIRATORY PRESSURE; PREDICTION; RESPIRATORY FUNCTION;

EID: 76649131989     PISSN: 03044920     EISSN: 26660059     Source Type: Journal    
DOI: 10.4077/CJP.2010.AMK013     Document Type: Article

References (40)

1. Alvisi, R., Volta, C.A., Righini, E.R., Capuzzo, M., Ragazzi, R., Verri, M., Candini, G., Gritts, G. and Milic-Emili, J. Predictors of weaning outcome in chronic obstructive pulmonary disease patients. Eur. Respir. J. 15: 656-662, 2000.
2. Antonelli, M., Conti, G., Moro, M.L., Esquinas, A., Gonzalez-Diaz, G., Confalonieri, M., Pelaia, P., Principi, T., Gregoretti, C., Beltrame, F., Pennisi, M.A., Arcangeli, A., Proietti, R., Passariello, M. and Meduri, G.U. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med. 27: 1718-1728, 2001.
3. Baumeister, B.L., El-Khatib, M., Smith, P.G. and Blumer, J.L. Evaluation of predictors of weaning from mechanical ventilation in pediatric patients. Pediatr. Pulmonol. 24: 344-352, 1997.
4. Bersten, A.D., Rutten, A.J., Vedig, A.E. and Skowronski, G.A. Additional work of breathing imposed by endotracheal tubes, breathing circuits, and intensive care ventilators. Crit. Care Med. 17: 671-677, 1989.
5. Bien, M.Y., Hseu, S.S., Yien, H.W., Kuo, B.I.T., Lin, Y.T., Wang, J.H. and Kou, Y.R. Breathing pattern variability: a weaning predictor in postoperative patients recovering from systemic inflammatory response syndrome. Intensive Care Med. 30: 241-247, 2004.
6. Branson, R.D. and Davis, K. Jr. Work of breathing imposed by five ventilators used for long-term support: the effect of PEEP and simulated patient demand. Respir. Care 40: 1270-1278, 1995.
7. Chao, D.C. and Scheinhorn, D.J. Determining the best threshold of rapid shallow breathing index in a therapist-implemented patient-specific weaning protocol. Respir. Care 52: 159-165, 2007.
8. Chatila, W., Jacob, B., Guaglionone, D. and Manthous, C.A. The unassisted respiratory rate-tidal volume ratio accurately predicts weaning outcome. Am. J. Med. 101: 61-67, 1996.
9. Cohen, J.D., Shapiro, M., Grozovski, E. and Singer, P. Automatic tube compensation-assisted respiratory rate to tidal volume ratio improves the prediction of weaning outcome. Chest 122: 980-984, 2002.
10. Conti, G., De Blasi, R., Pelaia, P., Benito, S., Rocco, M., Antonelli, M., Bufi, M., Mattia, C. and Gasparetto, A. Early prediction of successful weaning during pressure support ventilation in chronic obstructive pulmonary disease patients. Crit. Care Med. 20: 366-371, 1992.
11. Conti, G., Montini, L., Pennisi, M.A., Cavaliere, F., Arcangeli, A., Bocci, M.G., Proietti, R. and Antonelli, M. A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation. Intensive Care Med. 30: 830-836, 2004.
12. Downs, J.B. and Mitchell, L.A. Pulmonary effects of ventilatory pattern following cardiopulmonary bypass. Crit. Care Med. 4: 295-300, 1976.
13. El-Khatib, M.F., Jamaleddine, G.W., Khoury, A.R. and Obeid, M.Y. Effect of continuous positive airway pressure on the rapid shallow breathing index in patients following cardiac surgery. Chest 121: 475-479, 2002.
14. El-Khatib, M.F., Zeineldine, S.M. and Jamaleddine, G.W. Effect of pressure support ventilation and positive end expiratory pressure on the rapid shallow breathing index in intensive care unit patients. Intensive Care Med. 34: 505-510, 2008.
15. Ely, E.W., Baker, A.M., Evans, G.W. and Haponik, E.F. The prognostic significance of passing a daily screen of weaning parameters. Intensive Care Med. 25: 581-587, 1999.
16. Ferreira, J.C., Chipman, D. and Kacmarek, R.M. Trigger performance of mid-level ICU mechanical ventilators during assisted ventilation: a bench study. Intensive Care Med. 34: 1669-1675, 2008.
17. Good, J.T. Jr., Wolz, J.F., Anderson, J.T., Dreisin, R.B. and Petty, T.L. The routine use of positive end-expiratory pressure after open heart surgery. Chest 76: 397-400, 1979.
18. Jacob, B., Chatila, W. and Manthous, C.A. The unassisted respiratory rate/tidal volume ratio accurately predicts weaning outcome in postoperative patients. Crit. Care Med. 25: 253-257, 1997.
19. Johannigman, J.A., Davis, K. Jr., Campbell, R.S., Branson, R.D., Luchette, F.A. and Hurst, J.M. Use of the rapid/shallow breathing index as an indicator of patient work of breathing during pressure support ventilation. Surgery 122: 737-741, 1997.
20. Khan, N., Brown, A. and Venkataraman, S.T. Predictors of extubation success and failure in mechanically ventilated infants and children. Crit. Care Med. 24: 1568-1579, 1996.
21. Krieger, B.P., Isber, J., Breitenbucher, A., Throop, G. and Ershowsky, P. Serial measurements of the rapid-shallow-breathing index as a predictor of weaning outcome in elderly medical patients. Chest 112: 1029-1034, 1997.
22. Lee, K.H., Hui, K.P., Chan, T.B., Tan, W.C. and Lim, T.K. Rapid shallow breathing (frequency-tidal volume ratio) did not predict extubation outcome. Chest 105: 540-543, 1994.
23. MacIntyre, N.R., Cook, D.J., Ely, E.W. Jr., Epstein, S.K., Fink, J.B., Heffner, J.E., Hess, D., Hubmayer, R.D. and Scheinhorn, D.J. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 120: 375s-395s, 2001.
24. Manczur, T.I., Greenough, A., Pryor, D. and Rafferty, G.F. Comparison of predictors of extubation from mechanical ventilation in children. Pediatr. Crit. Care Med. 1: 28-32, 2000.
25. Marini, J.J., Smith, T.C. and Lamb, V. Estimation of inspiratory muscle strength in mechanically ventilated patients: the measurement of maximal inspiratory pressure. J. Crit. Care 1: 32-38, 1986.
26. Mead, J. Responses to loaded breathing. A critique and a synthesis. Bull. Eur. Physiopathol. Respir. 15 (Suppl.): 61-71, 1979.
27. Meade, M., Guyatt, G., Cook, D., Griffith, L., Sinuff, T., Kergl, C., Mancebo, J., Esteban, A. and Epstein, S. Predicting success in weaning from mechanical ventilation. Chest 120: 400s-424s, 2001.
28. Phua, J., Kong, K., Lee, H.S., Shen, L. and Lim, T.K. Noninvasive ventilation in hypercapnic acute respiratory failure due to chronic obstructive pulmonary disease vs. other conditions: effectiveness and predictors of failure. Intensive Care Med. 31: 533-539, 2005.
29. Purro, A., Appendini, L., De Gaetano, A., Gudjonsdottir, M., Donner, C.F. and Rossi, A. Physiologic determinants of ventilator dependence in long-tern mechanically ventilated patients. Am. J. Respir. Crit. Care Med. 161: 1115-1123, 2000.
30. Rivera, L. and Weissman, C. Dynamic ventilatory characteristics during weaning in postoperative critically ill patients. Anesth. Analg. 84: 1250-1255, 1997.
31. Boles, J.-M., Bion, J., Connors, A., Herridge, M., Marsh, B., Melot, C., Pearl, R., Silverman, H., Stanchina, M., Vieillard-Baron, A. and Welte, T. Weaning from mechanical ventilation. Eur. Respir. J. 29: 1033-1056, 2007.
32. Siddiq, Z., Veremakis, C., Trottier, S., Taylor, R. and Robert, W. Rapid shallow breathing index: a simplified version (Abstract). Crit. Care Med. 33: A113, 2005.
33. Takeuchi, M., Williams, P., Hess, D. and Kacmarek, R.M. Continuous positive airway pressure in new-generation mechanical ventilators. Anesthesiology 96: 162-172, 2002.
34. Tanios, M.A., Nevins, M.L., Hendra, K.P., Cardinal, P., Allan, J.E., Naumova, E.N. and Epstein, S.K. A randomized, controlled trial of the role of weaning: predictors in clinical decision making. Crit. Care Med. 34: 2530-2535, 2006.
35. Thiagarajan, R.R., Bratton, S.L., Martin, L.D., Brogan, T.V. and Taylor, D. Predictors of successful extubation in children. Am. J. Respir. Crit. Care Med. 160: 1562-1566, 1999.
36. Tobin, M.J. and Jubran, A. Variable performance of weaning-predictor tests: role of Bayes' theorem and spectrum and test-referral bias. Intensive Care Med. 32: 2002-2012, 2006.
37. Vallverdú, I., Calaf, N., Subirana, M., Net, A., Benito, S. and Mancebo, J. Clinical characteristics, respiratory functional parameters, and outcome of a two-hour T-piece trial in patients weaning from mechanical ventilation. Am. J. Respir. Crit. Care Med. 158: 1855-1862, 1998.
38. Valta, P., Takala, J., Eissa, N.T. and Milic-Emili, J. Effects of PEEP on respiratory mechanics after open heart surgery. Chest 102: 227-233, 1992.
39. Yang, K.L. and Tobin, M.J. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N. Engl. J. Med. 324: 1445-1450, 1991.
40. Yang, K.L. and Tobin, M.J. Measurement of minute ventilation in ventilator-dependent patients: need for standardization. Crit. Care Med. 19: 49-53, 1991.