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extubation readiness brain injured 2014

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3 papers 25 to 100 followers
By Jason Mann No BS pulmonary critical care fellow
Christopher D Anderson, James F Bartscher, Patricia D Scripko, Alessandro Biffi, Deborah Chase, Mary Guanci, David M Greer
BACKGROUND: Extubation failure in the neurocritical care unit (NCCU) is difficult to predict, and is an important source of prolonged intensive care, exposure to morbidity, and increased cost. METHODS: In this observational cohort study in the NCCU of a tertiary care hospital, we examined patients undergoing extubation or tracheostomy with >6 h of intubation. Observational data were collected at the time of the decision to extubate or pursue tracheostomy. The primary end-point was extubation failure within 72 h...
December 2011: Neurocritical Care
Paolo Navalesi, Pamela Frigerio, Maria Pia Moretti, Maurizio Sommariva, Sergio Vesconi, Paola Baiardi, Anna Levati
OBJECTIVE: To assess whether a systematic approach to weaning and extubation (intervention) is superior to the sole physician's judgment (control) in preventing reintubation secondary to extubation failure in patients with neurologic disorders. DESIGN: Randomized controlled trial. SETTING: Intensive care unit of a large teaching hospital. PATIENTS: Three hundred eighteen intubated patients who had been receiving mechanical ventilation for at least 12 hrs and were able to trigger the ventilator...
November 2008: Critical Care Medicine
Antoine Roquilly, Raphaël Cinotti, Samir Jaber, Mickael Vourc'h, Florence Pengam, Pierre Joachim Mahe, Karim Lakhal, Dominique Demeure Dit Latte, Nelly Rondeau, Olivier Loutrel, Jérôme Paulus, Bertrand Rozec, Yvonnick Blanloeil, Marie-Anne Vibet, Véronique Sebille, Fanny Feuillet, Karim Asehnoune
RATIONALE: Mechanical ventilation is associated with morbidity in patients with brain injury. OBJECTIVES: This study aims to assess the effectiveness of an extubation readiness bundle to decrease ventilator time in patients with brain injury. METHODS: Before-after design in two intensive care units (ICUs) in one university hospital. Brain-injured patients ventilated more than 24 hours were evaluated during two phases (a 3-yr control phase followed by a 22-mo intervention phase)...
October 15, 2013: American Journal of Respiratory and Critical Care Medicine
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