Pressure support versus T-tube for weaning from mechanical ventilation in adults

Cochrane Database of Systematic Reviews

Volumn 2014, Issue 5, 2014, Pages

  Ladeira, Magdaline T ^a   Vital, Flávia M R ^b   Andriolo, Régis B ^c   Andriolo, Brenda N G ^d   Atallah, Álvaro N ^d   Peccin, Maria S ^a  

^a FEDERAL UNIVERSITY OF SÃO PAULO   (Brazil)

^b Hospital do Câncer de Muriaé   (Brazil)

^c UNIVERSIDADE DO ESTADO DO PARÁ   (Brazil)

^d Brazilian Cochrane Center   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; BREATHING RATE; COMPARATIVE EFFECTIVENESS; EVIDENCE BASED MEDICINE; FEMALE; HOSPITAL MORTALITY; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PATIENT SAFETY; PNEUMONIA; PRESSURE SUPPORT VENTILATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); RAPID SHALLOW BREATHING INDEX; RESPIRATORY FAILURE; RESPIRATORY TRACT INTUBATION; REVIEW; SYSTEMATIC REVIEW; TIDAL VOLUME; TREATMENT DURATION; TREATMENT OUTCOME; VENTILATOR WEANING; ARTIFICIAL VENTILATION; DEVICES; META ANALYSIS; PRESSURE; PROCEDURES; RESPIRATORY INSUFFICIENCY; TRACHEOSTOMY;

ADULT; HUMANS; PRESSURE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; TRACHEOSTOMY; VENTILATOR WEANING;

EID: 84920763669     PISSN: None     EISSN: 1469493X     Source Type: Journal    
DOI: 10.1002/14651858.CD006056.pub2     Document Type: Review

References (85)

1. Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N, et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. American Journal of Respiratory and Critical Care Medicine 1994;150:896-903. [MEDLINE: 7921460]
2. Esteban A, Frutos F, Tobin MJ, Alía I, Solsona JF, Valverdú I, et al. A comparison of four methods of weaning patients from mechanical ventilation. New England Journal of Medicine 1995;332(6):345-50. [MEDLINE: 7823995]
3. Esteban A, Alia I, Gordo F, Fernandez R, Solsona JF, Vallverdu I, et al. Extubation outcome after spontaneous breathing trials with t-tube or pressure support ventilation. American Journal of Respiratory and Critical Care Medicine 1999;159:512-8. [MEDLINE: 9279224]
4. Haberthür C, Mols G, Elsasser S, Bingisser R, Stocker R, Guttmann J. Extubation after breathing trials with automatic tube compensation, T-tube, or pressure support ventilation. Acta Anaesthesiologica Scandinavica 2002;46(8):973-9. [MEDLINE: 12190798]
5. Koh Y, Hong SB, Lim CM, Lee SD, Kim WS, Kim DS, Kim WD. Effect of an additional 1-hour T-piece trial on weaning outcome at minimal pressure support. Journal of Critical Care 2000;15(2):41-5. [PUBMED: 10877363]
6. Koksal GM, Sayilgan C, Sen O, Oz H. The effects of different weaning modes on the endocrine stress response. Critical Care 2004;8(1):31-4. [MEDLINE: 14975052]
7. Matić I, Majerić-Kogler V. Comparison of pressure support and t-tube weaning from mechanical ventilation: Randomized prospective study. Croatian Medical Journal 2004;45(2):162-6. [MEDLINE: 15103752]
8. Matić I, Davorin D, Majerić-Kogler V, Jurjević M, Mirković I, Vucinić NM. Chronic obstructive pulmonary disease and weaning of difficult-to-wean patients from mechanical ventilation: Randomized prospective study. Croatian Medical Journal 2007;48(1):51-8. [PUBMED: 17309139]
9. Vitacca M, Vianello A, Colombo D, Clini E, Porta R, Bianchi L, et al. Comparison of two methods for weaning patients with chronic obstructive pulmonary disease requiring mechanical ventilation for more than 15 days. American Journal of Respiratory and Critical Care Medicine 2001;164(2):225-30. [MEDLINE: 11463592]
10. Cabello B, Thille A, Roche-Campo F, Brochard L, Gómez F, Mancebo J. Physiological comparison of three spontaneous breathing trials in difficult-to-wean patients. Intensive Care Medicine 2010;36:1171-9. [DOI: 101007/s00134-010-1870-0]
11. Colombo T, Boldrini AF, Juliano S, Juliano M, Houly J, Gebara O, et al. Implementation, assessment and comparison of the T-tube and pressure- support weaning protocols applied to the intensive care unit patients who had received mechanical ventilation for more than 48 hours [Implementação, avaliação e comparação dos protocolos de desmame com tubo-T e pressão suporte associada à pressão expiratória final positiva em pacientes submetidos à ventilação mecânica por mais de 48 horas em unidade de terapia intensiva]. Revista Brasileira de Terapia Intensiva 2007;19(1):31-7.
12. Costa A, Rieder M, Vieira S. Weaning from mechanical ventilation by using pressure support or T-tube ventilation. Comparison between patients with and without heart disease. [Desmame da ventilação mecânica utilizando pressão de suporte ou tubo T. Comparação entre pacientes cardiopatas e não cardiopatas]. Arquivos Brasileiros de Cardiologia 2005;85(1):On Line. [DOI: 10.1590/S0066-782X2005001400007]
13. Emmerich J, Vicêncio S, Siqueira H, Simäo A, Bernhoeft C, Souza W. A comparison among three methods of weaning ventilatory support: T-piece versus S-IMV versus PSV [Estudo comparativo entre três modalidades de desmame do suporte ventilatório: tradicional (tubo em "T") versus S-IML versus PSV]. Revista Brasileira de Terapia Intensiva 1997;9(4):167-74.
14. Esteban A, Alía I, Tobin MJ, Gil A, Gordo F, Vallverdú I, et al. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group. American Journal of Respiratory and Critical Care Medicine 1999;159(2):512-8. [MEDLINE: 9927366]
15. Figueiredo LC. Comparison of two weaning methods in uncomplicated coronary artery bypass grafting post-operative patients [Comparação entre dois métodos de retirada do suporte ventilatório em pacientes no pós-operatório de cirurgia cardíaca (MD Thesis)]. Biblioteca Central da Unicamp 2001.
16. Goldwasser R. Study on the effectiveness of two different tolerance tests on weaning from mechanical ventilation, for predicting the success of extubation in patients with chronic obstructive pulmonary disease [Estudo da eficácia de dois diferentes testes de tolerância de interrupção da ventilação mecânica para predizer o êxito da extubação em pacientes portadores de Doença Pumonar Obstrutiva Crônica]. Universidade Federal do Rio de Janeiro. Rio de Janeiro, 1998:88p.
17. Guntzel A, Moraes R, Chiappa Z, Ferlin E, Vieira S. The effect of T-tube and Pressure Support on Cardiorespiratory Variables and Heart Rate Variability during Weaning from Mechanical Ventilation [O efeito do tuboT e da pressão de suporte sobre variáveis cardiorespiratórias e variabilidade da frequência cardíaca durante o desmame da ventilação mecânica]. The effect of T-tube and pressure support on cardiorespiratory variables and heart rate variability during weaning from mechanical ventilation (thesis). Porto Alegre: Porto Alegre University, 2007:1-84.
18. Kuhlen R, Max M, Dembinski R, Terbeck S, Jürgens E, Rossaint R. Breathing pattern and workload during automatic tube compensation, pressure support and T-piece trials in weaning patients [2003]. European Journal Anaesthesiology 2003;20(1):10-6. [MEDLINE: 12553382]
19. Niembro R, Liendo A, Fisher R, Lopez J, Granillo J, Gonzáles J, et al. Comparison of T piece vs pressure support ventilation during weaning from mechanical ventilation [Pieza T vs ventilación con presión de soporte como método de retiro de la asistencia mecánica ventilatoria]. Revista de la Associación Mexicana de Medicina Critica y Terapia Intensiva 1996;10(6):254-8. [LILACS ID: 187834]
20. Patel R, Petrini M, Norman J. Work of breathing and pressure-time product on pressure support ventilation, continuous positive airway pressure, and T-piece. Respiratory Care 1996;41(11):1013-9.
21. Perren A, Domenighetti G, Mauri S, Genini F, Vizzardi N. Protocol-directed weaning from mechanical ventilation: clinical outcome in patients randomized for a 30-min or 120-min trial with pressure support ventilation. Intensive Care Medicine 2002;28(8):1058-63. [MEDLINE: 12185425]
22. Rieder M, Costa A, Vieira S. Positive expiratory pressure as a method for mechanical ventilation weaning: a comparison between the pressure support and T-tube methods [O uso da pressão expiratória positiva final durante o desmame da ventilação mecânica: uma comparação com os métodos de pressão de suporte e Tubo T]. CAPES thesis data 2004.
23. Santos L, HoffF, Kaufmann M, Condessa R, Vieira S. Energy expenditure in weaning from mechanical ventilation [Avaliação do gasto energético durante o desmame da ventilação mecânica os modos pressão suporte e Tubo T]. Universidade Federal do Rio Grande do Sul. Porto Alegre, 2008:89p.
24. Sassoon C, Light R, Lodia R, Sieck G, Mahutte K. Pressure-time product during continuous positive airway pressure, pressure support ventilation, and T-piece during weaning from mechanical ventilation. American Review of Respiratory Disease 1991;143:469-75. [MEDLINE: 2001053]
25. Schifelbain LM, Vieira SR, Brauner JS, Pacheco DM, Naujorks AA. Echocardiographic evaluation during weaning from mechanical ventilation [Alterações cardio-respiratórias em pacientes em desmame da ventilação mecânica: avaliação por ecocardiograma]. Clinics 2011;66(1):107-11. [LILACS ID: 578605; PUBMED: 21437445]
26. Jubran A, Grant BJ, Duffner LA, Collins EG, Lanuza DM, Hoffman LA, Tobin MJ. Effect of pressure support vs unassisted breathing through a tracheostomy collar on weaning duration in patients requiring prolonged mechanical ventilation: a randomized trial. JAMA 2013;309(7):671-7.
27. Zhang B, Qin YZ. A clinical study of rapid-shallow-breathing index in spontaneous breathing trial with pressure support ventilation and T-piece. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2009;21(7):397-401. [JAMA: 2013.159.]
28. Aggarwal A. Pressure support reduction versus spontaneous breathing trials in weaning from ventilation. www.controlled-trials.com/mrct.
29. Pellegrini J. Comparison between spontaneous breathing trials through pressure-support ventilation or "T" tube in the weaning of mechanical ventilation in patients with chronic obstructive pulmonary disease: a randomized controlled trial. www.controlled-trials.com 2011.
30. Alia I, Esteban A. Weaning from mechanical ventilation. Critical Care 2000;4:72-80. [MEDLINE: 11094496]
31. Baeza OR, Wagner RB, Lowery BD. Pulmonary hyperinflation. A form of barotrauma during mechanical ventilation. The Journal of Thoracic and Cardiovascular Surgery 1975;70(5):790-805. [MEDLINE: 1102809]
32. Blackwood B, Alderdice F, Burns K, Cardwell C, Lavery G, O'Halloran P. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. Cochrane Database of Systematic Reviews 2010, Issue 5. [DOI: 10.1002/14651858.CD006904.pub2]
33. Boles J, Bion J, Connors A, Herridge M, Marsh B, et al. Weaning from mechanical ventilation. European Respiratory Journal 2007;29:1033-56.
34. Butler R, Keenan SP, Inman KJ, Sibbald WJ, Block G. Is there a preferred technique for weaning the difficult-to-wean patient: a systematic review of the literature. Critical Care Medicine 1999;27(11):2331-6. [MEDLINE: 10579244]
35. Caroleo S, Agnello F, Abdallah K, Santangelo E, Amantea B. Weaning from mechanical ventilation: an open issue. Minerva Anestesiologica 2007;73(7-8):417-27. [PUBMED: 17637588]
36. Combes A, Figliolini C, Trouillet JL, Kassis N, Dombret MC, WolffM, et al. Factors predicting ventilator-associated pneumonia recurrence. Critical Care Medicine 2003;31:1102-7. [MEDLINE: 12682479]
37. Cook D, Meade M, Guyatt G, Griffith G, Booker L. Criteria for weaning from mechanical ventilation. Agency for Healthcare Research and Quality 2000;371(23):1-4. [MEDLINE: 10932958]
38. Egger M, Davey-Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphic test. BMJ 1997;315:629-34. [MEDLINE: 9310563]
39. Eggimann P, Pittet D. Infection control in the ICU. Chest 2001;120(6):2059-93. [MEDLINE: 11742943]
40. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, et al. Effect of the duration of mechanical ventilation on identifying patients capable of breathing spontaneously. New England Journal of Medicine 1996;335:1864-9. [MEDLINE: 8948561]
41. Epstein SK, Ciubotaru RL, Wong JB. Effect of failed extubation on the outcome of mechanical ventilation. Chest 1997;112(1):186-92. [PUBMED: 9228375]
42. Epstein SK. Weaning parameters. Respiratory Care Clinics of North America 2000;6:253-301. [MEDLINE: 10757963]
43. Epstein SK. Controversies in weaning from mechanical ventilation. Journal of Intensive Care Medicine 2001;16:270-86.
44. Esen F, Denkel T, Telci L, Kesecioglu J, Tutuncu AS, et al. Comparison of pressure support ventilation and intermittent mandatory ventilation during weaning in patients with acute respiratory failure. Advances in Experimental Medicine and Biology 1992;317:371-6. [MEDLINE: 1288147]
45. Esteban A, Alía I, Ibañez J, Benito S, Tobin M. Modes of Mechanical Ventilation and Weaning. Chest 1994;106:1188-93. [DOI: 10.1378;: CHEST 106.4.1188]
46. Esteban A, Anzueto A, Frutos F, AlÍa I, Brochard L, Stewart TE, et al. Mechanical Ventilation International Study Group. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 2002;287(3):345-55. [PUBMED: 11790214]
47. Esteban A, Ferguson N, Meade M, Frutos-Vivar F, Apezteguia C, et al. Evolution of mechanical ventilation in response to clinical research. American Journal of Respiratory and Critical Care Medicine 2008;177:170-7.
48. Ezingeard E, Diconne E, Guyomarcêh S, Venet C, Page D, Gery P, et al. Weaning from mechanical ventilation with pressure support in patients failing a T-tube trial of spontaneous breathing. Intensive Care Medicine 2006;32(1):165-9. [PUBMED: 16283162]
49. Fagon JY, Chastre J, Vuagnat A, Trouillet JL, Novara A, Gibert C. Nosocomial pneumonia and mortality among patients in intensive care units. JAMA 1996;275(11):866-9. [MEDLINE: 8596225]
50. Fleiss JL. Analysis of data from multiclinic trials. Controlled Clinical Trials 1986;7(4):267-75. [MEDLINE: 3802849]
51. Funk GC, Anders S, Breyer MK, Burghuber OC, Edelmann G, Heindl W, et al. Incidence and outcome of weaning from mechanical ventilation according to new categories. European Respiratory Journal 2010;35(1):88-94. [PUBMED: 19541716]
52. Garnacho-Montero J, Amaya-Villar R, García-Garmendia JL, Madrazo-Osuna J, Ortiz-Leyba C. Effect of critical illness polyneuropathy on the withdrawal from mechanical ventilation and the length of stay in septic patients. Critical Care Medicine 2005;33(2):349-54. [MEDLINE: 15699838]
53. Girard TD, Kress JP, Fuchs BD, Thomason JW, Schweickert WD, Pun BT, et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 2008;371(9607):126-34. [DOI: 10.1016/S0140-6736(08)60105-1; PUBMED: 18191684]
54. Gonçalves E, Silva E, Basile A, Auxiliadora M, Nicolini E, Gastaldi A. Low pressure support changes the rapid shallow breathing index (RSBI) in critically ill patients on mechanical ventilation. Revista Brasileira de Fisioterapia 2012; Vol. 16, issue 5:368-74. [DOI: 10.1590/S1413-35552012005000037]
55. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Statistics in Medicine 2002;21:1539-58. [MEDLINE: 12111919]
56. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. Cochrane Database of Systematic Reviews 2011.
57. Hozo S, Djulbegovic B, HozoI I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Medical Research Methodology 2005;5:13. [DOI: 10.1186/1471-2288-5-13]
58. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Critical Care Medicine 1985;13(10):818-29. [PUBMED: 3928249]
59. Kollef MH, Shapiro SD, Silver P, St John RE, Prentice D, Sauer S, et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Critical Care Medicine 1997;25:567-74. [MEDLINE: 9142019]
60. Le Bourdelles G, Viires N, Boczkowski J, Seta N, Pavlovic D, Aubier M. Effects of mechanical ventilation on diaphragmatic contractile properties in rats. American Journal of Respiratory and Critical Care Medicine 1994;49:1539-44. [MEDLINE: 8004310]
61. Le Gall JR. A new simplified acute physiology score (SAPS II) based on a European/North American multicenter study. JAMA 1993;270:2957-63.
62. Levine S, Nguyen T, Taylor N, Friscia ME, Budak MT, Rothenberg P, et al. Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. New England Journal of Medicine 2008;27(13):1327-35. [PUBMED: PMID: 18367735]
63. Luetz A, Goldmann A, Weber-Carstens S, Spies C. Weaning from mechanical ventilation and sedation. Current Opinion Anaesthesiology 2012;25(2):164-9.
64. MacIntyre NR, Cook DJ, Ely EW Jr, Epstein SK, Fink JB, Heffner JE, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 2001;120(6 Suppl):375S-95S. [MEDLINE: 11742959]
65. MacIntyre NR. Evidence-based assessments in the ventilator discontinuation process. Respiratory Care 2012;57(10):1611-8. [PUBMED: 23013898]
66. Marelich GP, Murin S, Battistella F, Inciardi J, Vierra T, Roby M. Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses. Effect on weaning time and incidence of ventilator associated pneumonia. Chest 2000;118:459-65. [MEDLINE: 10936141]
67. Marini JJ, Slutsky AS. Physiological basis of ventilatory support. Vol. 118, New York: Marcel Dekker Inc, 1998.
68. Meade M, Guyatt G, SinuffT, Griffith L, Hand L, Toprani G, et al. Trials comparing alternative weaning modes and discontinuation assessments. Chest 2001;120:425S-37S. [MEDLINE: 11742962]
69. Michelson A, Kamp HD, Schuster B. Sinusitis in long-term intubated, intensive care patients: nasal versus oral intubation. Der Anaesthesist 1991;40(2):100-4. [MEDLINE: 2048700]
70. Morehead RS, Pinto SJ. Ventilator-associated pneumonia. Archives of Internal Medicine 2000;160:1926-36. [MEDLINE: 10888967]
71. Nathan SD, Ishaaya AM, Koerner SK, Belman MJ. Prediction of minimal pressure support during weaning from mechanical ventilation. Chest 1993;103(4):1215-9. [PUBMED: 8131468]
72. Oxman AD, Guyatt GH. A consumer's guide to subgroup analyses. Annals of Internal Medicine 1992;116:78-84. [MEDLINE: 1530753]
73. Patel K, Ganatra K, Bates J, Young M. Variation in the rapid shallow breathing index associated with common measurement techniques and conditions. Respiratory Care 2009;54(11):1462-6.
74. Petersen GW, Baier H. Incidence of pulmonary barotrauma in a medical ICU. Critical Care Medicine 1983;11(2):67-9. [MEDLINE: 6337021]
75. Penuelas O, Frutos-Vivar F, Fernández C, Anzueto A, Epstein SK, Apezteguia C, et al. Characteristics and outcomes of ventilated patients according to time to liberation from mechanical ventilation. American Journal of Respiratory and Critical Care Medicine 2011;184:430-7. [DOI: 10.1164/rccm.201011-1887OC.; MEDLINE: 21616997]
76. Pingleton SK. Complications of acute respiratory failure. American Review of Respiratory Disease 1988;137:1463-93. [MEDLINE: 3059862]
77. Powers SK, Shanely RA, Coombes JS, Koesterer TJ, McKenzie M, Van Gammeren D, et al. Mechanical ventilation results in progressive contractile dysfunction in the diaphragm. Journal of Applied Physiology 2002;92:1851-8. [MEDLINE: 11960933]
78. Rello J, Quintana E, Ausina V, Castella J, Luquin M, Net A, et al. Incidence, etiology, and outcome of nosocomial pneumonia in mechanically ventilated patients. Chest 1991;100:439-44. [MEDLINE: 1864118]
79. Santos L, Borges M, Figueirêdo L, Guedes C, Vian B, Kappaz K, Araújo S. Comparison among Three Methods to Measure the Rapid Shallow Breathing Index in Patients Submitted to Weaning from Mechanical Ventilation [Comparação entre Três Métodos de Obtenção do Índicede Respiração Rápida e Superficial em Pacientes Submetidos ao Desmame da Ventilação Mecânica]. Revista Brasileira de Terapia Intensiva 2007;19(3):331-6.
80. Schuster DP, Rowley H, Feinstein S, McGue MK, Zuckerman GR. Prospective evaluation of the risk of upper gastrointestinal bleeding after admission to a medical intensive care unit. The American Journal of Medicine 1984;76(4):623-30. [MEDLINE: 6608877]
81. Sellares J, Ferrer M, Cano E, Loureiro H, Valencia M, Torres A. Predictors of prolonged weaning and survival during ventilator weaning in a respiratory ICU. Intensive Care Medicine 2011;37(5):775-84. [PUBMED: 21373820.]
82. Tonnelier A, Tonnelier JM, Nowak E, Gut-Gobert C, Prat G, Renault A, et al. Clinical relevance of classification according to weaning difficulty. Respiratory Care 2011;56(5):583-90. [PUBMED: PMID: 21276313]
83. van Zanten AR, Dixon JM, Nipshagen MD, de Bree R, Girbes AR, Polderman KH. Hospital-acquired sinusitis is a common cause of fever of unknown origin in orotracheally intubated critically ill patients. Critical Care 2005;9(5):583-90. [MEDLINE: 16277722]
84. Yusuf S, Wittes J, Probstfield J, Tyroler HA. Analysis and interpretation of treatment effects in subgroups of patients in randomized clinical trials. JAMA 1991;266:93-8. [MEDLINE: 2046134]
85. Ladeira MT, Burns KEA, Atallah ÁN, Vital FMR, Andriolo RB, Soares B. Pressure support versus T tube for weaning from mechanical ventilation in adults. Cochrane Database of Systematic Reviews 2006, Issue 2. [DOI: 10.1002/14651858.CD006056]