2019
DOI: 10.1111/jocs.14189
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To extubate or not to extubate: Risk factors for extubation failure and deterioration with further mechanical ventilation

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Cited by 14 publications
(17 citation statements)
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References 30 publications
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“…In addition, abnormal vital signs, such as heart rate, respiratory rate, MAP, SpO 2 , and temperature were related to a higher EF risk (35,36). These basic factors are commonly used in ICUs, representing the vital status of a patient, and were included in many prediction models.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, abnormal vital signs, such as heart rate, respiratory rate, MAP, SpO 2 , and temperature were related to a higher EF risk (35,36). These basic factors are commonly used in ICUs, representing the vital status of a patient, and were included in many prediction models.…”
Section: Discussionmentioning
confidence: 99%
“…Randomization of patients before the operation could have resulted in several postrandomization exclusions due to ineligibility (i.e., absence of moderate hypoxemia at end of SBT); such exclusions could have reduced the precision of treatment effect estimates and study power [ 33 ]. PaO 2 /FiO 2 of < 300 mmHg is considered as an independent risk factor for extubation failure [ 34 ]. Early postoperative oxygenation disturbances are frequently partly due to atelectasis [ 35 ].…”
Section: Discussionmentioning
confidence: 99%
“…The current study’s strengths include its RCT design and high follow-up rates, as well as the protocolized use of 2 initial HFNC gas flow levels at FiO 2 = 0.6, followed by downward titrations of HFNC settings according to specified physiological targets. To our knowledge, this is the first concurrent evaluation of such HFNC protocols vs. conventional oxygen therapy in a selected subgroup of hypoxemic cardiac surgery patients with high risk of extubation failure [ 34 ].…”
Section: Discussionmentioning
confidence: 99%
“…Estes resultados são corroborados por outras pesquisas [1,2,20,21,23,24] Analisadas as estratégias para TREs, Ventilação por Pressão de Suporte (PSV) ou tubo-T, nenhuma diferença estatisticamente significativa foi apontada em relação aos desfechos de reintubação e não reintubação. Embora a PSV tenha sido a técnica realizada em 94% dos pacientes extubados, na revisão sistemática recentemente publicada por Yuting et al [25] os autores sugerem que tais estratégias são equivalentes, sendo ambas válidas para desmame ventilatório e sem superioridade de uma em relação à outra.…”
Section: Discussionunclassified
“…A reintubação é um evento frequentemente associado à demanda por internações mais longas nas unidades de cuidados intensivos [16,23,27]. Corroborando esses dados, na presente amostra, o tempo de internação no grupo de pacientes reintubados também foi significativamente maior, 11 dias a mais se comparado com o grupo de pacientes não reintubados (p < 0,001).…”
Section: Discussionunclassified