We have located links that may give you full text access.
ENGLISH ABSTRACT
JOURNAL ARTICLE
[Oxygen cost of breathing in the prediction of successful weaning from mechanical ventilation].
Medicina Intensiva 2007 May
OBJECTIVE: To determine whether the oxygen cost of breathing (VO2 resp) may predict successful weaning from mechanical ventilation.
DESIGN: A prospective clinical study.
SETTING: A polyvalent intensive care unit of a teaching hospital.
PATIENTS: Thirty non-consecutive mechanically ventilated patients ready to wean. Successful weaning was considered when reintubation was not needed for 48 h after extubation.
INTERVENTIONS: Spontaneous breathing test with a t-tube. VO2 resp was measured with the Douglas bag method.
RESULTS: Successful weaning was present in 20 (67%) of 30 patients. No patient with successful weaning needed tracheal reintubation. A cut-off value for VO2 resp <or= 10% had the highest value for the ROC curve (0.96 +/- 0.03) and +LR (9.5; 95% CI: 1.5 - 61) and -LR (0.1; 95% CI: 0.01 - 0.4) to distinguish between success or failure of weaning. A misclassification error of 7% was present to predict successful weaning.
CONCLUSION: The oxygen cost of breathing has no clinical utility in predicting weaning outcome.
DESIGN: A prospective clinical study.
SETTING: A polyvalent intensive care unit of a teaching hospital.
PATIENTS: Thirty non-consecutive mechanically ventilated patients ready to wean. Successful weaning was considered when reintubation was not needed for 48 h after extubation.
INTERVENTIONS: Spontaneous breathing test with a t-tube. VO2 resp was measured with the Douglas bag method.
RESULTS: Successful weaning was present in 20 (67%) of 30 patients. No patient with successful weaning needed tracheal reintubation. A cut-off value for VO2 resp <or= 10% had the highest value for the ROC curve (0.96 +/- 0.03) and +LR (9.5; 95% CI: 1.5 - 61) and -LR (0.1; 95% CI: 0.01 - 0.4) to distinguish between success or failure of weaning. A misclassification error of 7% was present to predict successful weaning.
CONCLUSION: The oxygen cost of breathing has no clinical utility in predicting weaning outcome.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app