Spontaneous Breathing Trial a Reliable Method for Weaning in Children

Introduction  Mechanical ventilation may be lifesaving intervention,It can be associated with complications,Thus,successful weaning is constitutive.One of the factors which is  important in successful weaning is  method of weaning. It is shown that  weaning is conducted successfully by using Spontan...

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Main Authors: Shamsi Gaffari, Masoumeh Ghasempour, Nemat Bilan
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2015-06-01
Series:International Journal of Pediatrics
Subjects:
Online Access:http://ijp.mums.ac.ir/pdf_4424_f0fb90afce7291d82b7ec689501221fc.html
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author Shamsi Gaffari
Masoumeh Ghasempour
Nemat Bilan
author_facet Shamsi Gaffari
Masoumeh Ghasempour
Nemat Bilan
author_sort Shamsi Gaffari
collection DOAJ
description Introduction  Mechanical ventilation may be lifesaving intervention,It can be associated with complications,Thus,successful weaning is constitutive.One of the factors which is  important in successful weaning is  method of weaning. It is shown that  weaning is conducted successfully by using Spontaneous Breathing Trial (SBT) through T-piece and pressure support (PS) ventilation.But few studies have not accepted it.In this study,we evaluated the role of  SBT in extubation of patients in pediatric intensive care.  Materials and Methods In a cross sectional and analytical study, three hundred sixty  patients  with adequate gas exchange (indicated by PaO2 higher than 60 mm/Hg while FIO2 of 0.40 or less (or PaO2 ∕ FIO2ratio> 300) were enrolled. Patients underwent a 2-hours trial of spontaneous breathing with pressure support ventilation.They were monitored during the test for 2 hours and were classified as failing the test if at any time in the 2-hours period ,there was tachypnea , excessive work of breathing,Tachycardia and SPO2
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spelling doaj.art-475fbcc722b140ed89c09b160f41ee4a2022-12-22T04:01:35ZengMashhad University of Medical SciencesInternational Journal of Pediatrics2345-50472345-50552015-06-0133.27077124424Spontaneous Breathing Trial a Reliable Method for Weaning in ChildrenShamsi Gaffari0Masoumeh Ghasempour1Nemat Bilan2Pediarirc Cardiologist, Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Pediatrician, Pediatric Health Research Center,Tabriz University of Medical Sciences, Tabriz, Iran.Pediatric Pulmonologist, Pediatric Health Research Center,Tabriz University of Medical Sciences, Tabriz, Iran.Introduction  Mechanical ventilation may be lifesaving intervention,It can be associated with complications,Thus,successful weaning is constitutive.One of the factors which is  important in successful weaning is  method of weaning. It is shown that  weaning is conducted successfully by using Spontaneous Breathing Trial (SBT) through T-piece and pressure support (PS) ventilation.But few studies have not accepted it.In this study,we evaluated the role of  SBT in extubation of patients in pediatric intensive care.  Materials and Methods In a cross sectional and analytical study, three hundred sixty  patients  with adequate gas exchange (indicated by PaO2 higher than 60 mm/Hg while FIO2 of 0.40 or less (or PaO2 ∕ FIO2ratio> 300) were enrolled. Patients underwent a 2-hours trial of spontaneous breathing with pressure support ventilation.They were monitored during the test for 2 hours and were classified as failing the test if at any time in the 2-hours period ,there was tachypnea , excessive work of breathing,Tachycardia and SPO2http://ijp.mums.ac.ir/pdf_4424_f0fb90afce7291d82b7ec689501221fc.htmlChildrenextubation failureSpontaneous Breathing Trialweaning
spellingShingle Shamsi Gaffari
Masoumeh Ghasempour
Nemat Bilan
Spontaneous Breathing Trial a Reliable Method for Weaning in Children
International Journal of Pediatrics
Children
extubation failure
Spontaneous Breathing Trial
weaning
title Spontaneous Breathing Trial a Reliable Method for Weaning in Children
title_full Spontaneous Breathing Trial a Reliable Method for Weaning in Children
title_fullStr Spontaneous Breathing Trial a Reliable Method for Weaning in Children
title_full_unstemmed Spontaneous Breathing Trial a Reliable Method for Weaning in Children
title_short Spontaneous Breathing Trial a Reliable Method for Weaning in Children
title_sort spontaneous breathing trial a reliable method for weaning in children
topic Children
extubation failure
Spontaneous Breathing Trial
weaning
url http://ijp.mums.ac.ir/pdf_4424_f0fb90afce7291d82b7ec689501221fc.html
work_keys_str_mv AT shamsigaffari spontaneousbreathingtrialareliablemethodforweaninginchildren
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AT nematbilan spontaneousbreathingtrialareliablemethodforweaninginchildren