The modified integrative weaning index as a predictor of extubation failure

Respiratory Care

Volumn 59, Issue 7, 2014, Pages 1042-1047

  Boniatti, Viviane M C ^a   Boniatti, Márcio M ^a   Andrade, Cristiano F ^b   Zigiotto, Crislene C ^a   Kaminski, Patricia ^a   Gomes, Samantha P ^a   Lippert, Rodrigo ^a   Miguel, Diego C ^a   Felix, Elaine A ^a  

^a HOSPITAL NOSSA SENHORA DA CONCEIÇÃO   (Brazil)

^b HOSPITAL DE CLÍNICAS DE PORTO ALEGRE   (Brazil)

Author keywords

Mechanical ventilation; Predictive indexes of extubation; Weaning

Indexed keywords

ADULT; ARTICLE; BICARBONATE BLOOD LEVEL; CLINICAL DISEASE ACTIVITY INDEX; EXTUBATION; FEMALE; FLUID BALANCE; HEMOGLOBIN BLOOD LEVEL; HUMAN; MAJOR CLINICAL STUDY; MALE; MEASUREMENT ACCURACY; MODIFIED INTEGRATIVE WEANING INDEX; MORTALITY; OUTCOME ASSESSMENT; PNEUMONIA; PREDICTOR VARIABLE; PROSPECTIVE STUDY; RECEIVER OPERATING CHARACTERISTIC; TACHYCARDIA; TACHYPNEA; TREATMENT FAILURE; AGED; ARTIFICIAL VENTILATION; BREATHING MECHANICS; INTENSIVE CARE; LUNG VENTILATION; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; PREDICTIVE VALUE; RESPIRATORY INSUFFICIENCY; TIDAL VOLUME;

ADULT; AGED; AIRWAY EXTUBATION; FEMALE; HUMANS; INTENSIVE CARE; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; PULMONARY VENTILATION; RESPIRATORY INSUFFICIENCY; RESPIRATORY MECHANICS; ROC CURVE; TIDAL VOLUME; TREATMENT FAILURE; VENTILATOR WEANING;

EID: 84928164812     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.02652     Document Type: Article

References (29)

1. Esteban A, Frutos F, Tobin MJ, Alia I, Solsona JF, Valverdú I, et al. A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med 1995; 332(6): 345-350.
2. Tobin MJ. Mechanical ventilation. N Engl J Med 1994; 330(15): 1056-1061.
3. Meade M, Guyatt G, Griffith L, Booker L, Randall J, Cook DJ. Introduction to a series of systematic reviews of weaning from mechanical ventilation. Chest 2001; 120(Suppl 6): S396-S399.
4. Eskandar N, Apostolakos MJ. Weaning from mechanical ventilation. Crit Care Clin 2007; 23(2): 263-274.
5. Soo Hoo GW, Park L. Variations in the measurement of weaning parameters: A survey of respiratory therapists. Chest 2002; 121(6): 1947-1955.
6. 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. Crit Care Med 1997; 25(4): 567-574.
7. Boles JM. Bion J, Connors A, Herridge M, Marsh B, Melot C, et al. Weaning from mechanical ventilation. Eur Respir J 2007; 29(5): 1033-1056.
8. Epstein SK. Weaning from ventilatory support. Curr Opin Crit Care 2009; 15(1): 36-43.
9. Conti G. A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation. Intensive Care Med 2004; 30(5): 830-836.
10. Capdevila XJ, Perrigault PF, Perey 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(2): 482-489.
11. Khamiees M, Raju P, DeGirolamo A, Amoateng-Adjepong Y, Man-thous CA. Predictors of extubation outcome in patients who have successfully completed a spontaneous breathing trial. Chest 2001; 120(4): 1262-1270.
12. Aboussouan LS, Lattin CD, Anne VV. Determinants of time-to-weaning in a specialized respiratory care unit. Chest 2005; 128(5): 3117-3126.
13. Wu YK, Kao KC, Hsu KH, Hsieh MJ, Tsai YH. Predictors of successful weaning from prolonged mechanical ventilation in Taiwan. Respir Med 2009; 103(8); 1189-1195.
14. NemerSN, Barbas CSV, CaldeiraJB, CáriasTC, Santos RG, Almeida RC, et al. A new integrative weaning index of discontinuation from mechanical ventilation. Critical Care 2009; 13(5): R 152.
15. 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(21): 1445-1450.
16. MacIntyre N, Cook DJ, Ely EW, 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(Suppl 6): 375S-395S.
17. Epstein SK. Decision to extubate. Intensive Care Med 2002; 28(5): 535-546.
18. Savi A, Teixeira C, Silva JM, Borges LG, Pereira PA, Pinto KB, et al. Weaning predictors do not predict extubation failure in simple-to-wean patients. J Crit Care 2012; 27(2): 221. el-e8.
19. Pandharipande PP, Shintani AK, Hagerman HE, St Jacques PJ, Rice TW, Sanders NW, et al. Derivation and validation of Sp02/FI02 ratio to impute for Pao2/FI02 ratio in the respiratory component of the Sequential Organ Failure Assessment score. Crit Care Med 2009; 37(4); 1317-1321.
20. Segal LN, Oei E, Oppenheimer BW, Goldring RM. Bustami RT, Ruggiero S, et al. Evolution of pattern of breathing during a spontaneous breathing trial predicts successful extubation. Intensive Care Med 2010; 36(3): 487-495.
21. Tanios MA, Nevins ML, Hendra KP, Cardinal P, Allan JE, Naumova EM, et al. A randomized controlled trial of the role of weaning predictors in clinical decision making. Crit Care Med 2006; 34(10): 2530-2535.
22. Alia I, Esteban A. Weaning from mechanical ventilation. Crit Care 2000; 4(2): 72-80.
23. Epstein SK, Ciubotaru RL. Independent effects of etiology of failure and time to reintubation on outcome for patients failing extubation. Am J Respir Crit Care Med 1998; 158(2): 489-493.
24. Coplin WM, Pierson DJ, Cooley KD, Newell DW, Rubenfeld GD. Implications of extubation delay in brain-injured patients meeting standard weaning criteria. Am J Respir Crit Care Med 2000; 161 (5): 1530-1536.
25. Frutos-Vivar F, Ferguson ND, Esteban A, Epstein SK, Arabi Y, Apezteguía C, et al. Risk factors for extubation failure in patients following a successful spontaneous breathing trial. Chest 2006; 130(6): 1664-1671.
26. Vallverdú I, Calaf N, Subirana M. Net A, Benito S, 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 1998; 158(6): 1855-1862.
27. Iotti GA, Olivei MC, Braschi A. Mechanical effects of heat-moisture exchangers in ventilated patients. Crit Care 1999; 3(5): R77-R82.
28. Campbell RS, David K Jr, Johannigman JA, Branson RD. The effects of passive humidifier dead space on respiratory variables in paralyzed and spontaneously breathing patients. Respir Care 2000; 45(3): 306-312.
29. Girault C, Breton L. Richard JC, Tamion F, Vandelet P. Aboab J, et al. Mechanical effects of airway humidification devices in difficult to wean patients. Crit Care Med 2003; 31 (5): 1306-1311.