Maximum inspiratory pressure and rapid shallow breathing index as predictors of successful ventilator weaning

Journal of Physical Therapy Science

Volumn 27, Issue 12, 2015, Pages 3723-3727

  Bien, Umilson Dos Santos ^a   Souza, Gerson Fonseca ^b   Campos, Elisangela Siqueira ^c   De Carvalho, Etiene Farah ^a   Fernandes, Matheus Guedes ^a   Santoro, Ilka ^c   Costa, Dirceu ^a   Arena, Ross ^d   Sampaio, Luciana Maria Malosá ^a  

^a Nove de Julho University   (Brazil)

^b FEDERAL UNIVERSITY OF SÃO PAULO   (Brazil)

^c Mandaqui Hospital   (Brazil)

^d UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Mechanical ventilation; Physiological predictor indices; Ventilator weaning

Indexed keywords

ADOLESCENT; AREA UNDER THE CURVE; ARTIFICIAL VENTILATION; CLINICAL STUDY; CONTROLLED STUDY; DIAGNOSTIC TEST ACCURACY STUDY; ENDOTRACHEAL INTUBATION; HUMAN; HUMAN TISSUE; INTENSIVE CARE UNIT; LOGISTIC REGRESSION ANALYSIS; PREDICTIVE VALUE; RAPID SHALLOW BREATHING INDEX; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; STATISTICAL MODEL; SURGICAL PATIENT;

EID: 84951984842     PISSN: 09155287     EISSN: None     Source Type: Journal    
DOI: 10.1589/jpts.27.3723     Document Type: Article

References (28)

1. Hess DR, MacIntyre NR: Ventilator discontinuation: why are we still weaning? Am J Respir Crit Care Med, 2011, 184: 392-394. [Medline] [CrossRef]
2. Macintyre NR: Evidence-based assessments in the ventilator discontinuation process. Respir Care, 2012, 57: 1611-1618. [Medline] [CrossRef]
3. Frutos-Vivar F, Ferguson ND, Esteban A, et al.: Risk factors for extubation failure in patients following a successful spontaneous breathing trial. Chest, 2006, 130: 1664-1671. [Medline] [CrossRef]
4. Tobin MJ, Jubran A: Variable performance of weaning-predictor tests: role of Bayes’ theorem and spectrum and test-referral bias. Intensive Care Med, 2006, 32: 2002-2012. [Medline] [CrossRef]
5. Frutos-Vivar F, Esteban A: Weaning from mechanical ventilation: why are we still looking for alternative methods? Med Intensiva, 2013, 37: 605-617. [Medline] [CrossRef]
6. Vassilakopoulos T, Roussos C, Zakynthinos S: Weaning from mechanical ventilation. J Crit Care, 1999, 14: 39-62. [Medline] [CrossRef]
7. Eskandar N, Apostolakos MJ: Weaning from mechanical ventilation. Crit Care Clin, 2007, 23: 263-274, x. [Medline] [CrossRef]
8. Jubran A, Tobin MJ: Monitoring during mechanical ventilation. Clin Chest Med, 1996, 17: 453-473. [Medline] [CrossRef]
9. Kollef MH, Shapiro SD, Silver P, et al.: A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med, 1997, 25: 567-574. [Medline] [CrossRef]
10. Nemer SN, Barbas CS, Caldeira JB, et al.: A new integrative weaning index of discontinuation from mechanical ventilation. Crit Care, 2009, 13: R152. [Medline] [CrossRef]
11. Nemer SN, Barbas CS, Caldeira JB, et al.: Evaluation of maximal inspiratory pressure, tracheal airway occlusion pressure, and its ratio in the weaning outcome. J Crit Care, 2009, 24: 441-446. [Medline] [CrossRef]
12. Black LF, Hyatt RE: Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis, 1969, 99: 696-702. [Med- line]
13. de Souza LC, da Silva CT Jr., Almeida JR, et al.: Comparison of maximal inspiratory pressure, tracheal airway occlusion pressure, and its ratio in the prediction of weaning outcome: impact of the use of a digital vacu- ometer and the unidirectional valve. Respir Care, 2012, 57: 1285-1290. [Medline] [CrossRef]
14. Verceles AC, Diaz-Abad M, Geiger-Brown J, et al.: Testing the prognostic value of the rapid shallow breathing index in predicting successful weaning in patients requiring prolonged mechanical ventilation. Heart Lung, 2012, 41: 546-552. [Medline] [CrossRef]
15. Kuo PH, Wu HD, Lu BY, et al.: Predictive value of rapid shallow breathing index measured at initiation and termination of a 2-hour spontaneous breathing trial for weaning outcome in ICU patients. J Formos Med Assoc, 2006, 105: 390-398. [Medline] [CrossRef]
16. Knaus WA, Zimmerman JE, Wagner DP, et al.: APACHE-acute physiology and chronic health evaluation: a physiologically based classification system. Crit Care Med, 1981, 9: 591-597. [Medline] [CrossRef]
17. Knaus WA, Draper EA, Wagner DP, et al.: APACHE II: a severity of disease classification system. Crit Care Med, 1985, 13: 818-829. [Medline] [CrossRef]
18. Hanley JA, McNeil BJ: A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology, 1983, 148: 839-843. [Medline] [CrossRef]
19. Swets JA: Measuring the accuracy of diagnostic systems. Science, 1988, 240: 1285-1293. [Medline] [CrossRef]
20. Conti G, Montini L, Pennisi MA, et al.: A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation. Intensive Care Med, 2004, 30: 830-836. [Medline] [CrossRef]
21. Vassilakopoulos T, Zakynthinos S, Roussos C: The tension-time index and the frequency/tidal volume ratio are the major pathophysiologic determi- nants of weaning failure and success. Am J Respir Crit Care Med, 1998, 158: 378-385. [Medline] [CrossRef]
22. Carlucci A, Ceriana P, Prinianakis G, et al.: Determinants of weaning success in patients with prolonged mechanical ventilation. Crit Care, 2009, 13: R97. [Medline] [CrossRef]
23. Hermans G, Agten A, Testelmans D, et al.: Increased duration of mechanical ventilation is associated with decreased diaphragmatic force: a prospective observational study. Crit Care, 2010, 14: R127. [Medline] [Cross- Ref]
24. Levine S, Nguyen T, Taylor N, et al.: Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med, 2008, 358: 1327-1335. [Medline] [CrossRef]
25. Yang KL, Tobin MJ: A prospective study of indexes predicting the out- come of trials of weaning from mechanical ventilation. N Engl J Med, 1991, 324: 1445-1450. [Medline] [CrossRef]
26. Sassoon CS, Mahutte CK: Airway occlusion pressure and breathing pat- tern as predictors of weaning outcome. Am Rev Respir Dis, 1993, 148:860-866. [Medline] [CrossRef]
27. Capdevila XJ, Perrigault PF, Perey PJ, et al.: Occlusion pressure and its ratio to maximum inspiratory pressure are useful predictors for success- ful extubation following T-piece weaning trial. Chest, 1995, 108: 482-489. [Medline] [CrossRef]
28. Corbellini C, Trevisan CB, Villafañe JH, et al.: Weaning from mechanical ventilation: a cross-sectional study of reference values and the discriminative validity of aging. J Phys Ther Sci, 2015, 27: 1945-1950. [Medline] [CrossRef]