Antuani Rafael Baptistella1, Fabio Junior Sarmento2, Karina Ribeiro da Silva2, Shaline Ferla Baptistella3, Marcelo Taglietti4, Radamés Ádamo Zuquello5, João Rogério Nunes Filho6. 1. Universidade do Oeste de Santa Catarina (UNOESC), Joaçaba, SC, Brazil; Programa de Pós-Graduação em Biociências e Saúde/Universidade do Oeste de Santa Catarina, Brazil; Hospital Universitário Santa Terezinha, Joaçaba, SC, Brazil. Electronic address: antuani.baptistella@unoesc.edu.br. 2. Universidade do Oeste de Santa Catarina (UNOESC), Joaçaba, SC, Brazil. 3. Universidade do Oeste de Santa Catarina (UNOESC), Joaçaba, SC, Brazil; Programa de Pós-Graduação em Biociências e Saúde/Universidade do Oeste de Santa Catarina, Brazil; Hospital Universitário Santa Terezinha, Joaçaba, SC, Brazil. 4. Centro Universitário FAG, Cascavel, PR, Brazil. 5. Jackson Memorial Hospital, Miami, USA. 6. Universidade do Oeste de Santa Catarina (UNOESC), Joaçaba, SC, Brazil; Hospital Universitário Santa Terezinha, Joaçaba, SC, Brazil.
Abstract
PURPOSE: To identify, describe and discuss the parameters used to predict weaning from mechanical ventilation and extubation outcomes. METHODS: Systematic review of scientific articles using four electronic databases: PubMed, Embase, PEDro and Cochrane Library. Search terms included "weaning", "extubation", "withdrawal" and "discontinuation", combined with "mechanical ventilation" and "predictive factors", "predictive parameters" and "predictors for success". In this study, we included original articles that presented predictive factors for weaning or extubation outcomes in adult patients and not restricted to a single disease. Articles not written in English were excluded. RESULTS: A total of 43 articles were included, with a total of 7929 patients and 56 different parameters related to weaning and extubation outcomes. Rapid Shallow Breathing Index (RSBI) was the most common predictor, discussed in 15 studies (2159 patients), followed by Age and Maximum Inspiratory Pressure in seven studies. The other 53 parameters were found in less than six studies. CONCLUSION: There are several parameters used to predict weaning and extubation outcomes. RSBI was the most frequently studied and seems to be an important measurement tool in deciding whether to wean/extubate a patient. Furthermore, the results demonstrated that weaning and extubation should be guided by several parameters, and not only to respiratory ones.
PURPOSE: To identify, describe and discuss the parameters used to predict weaning from mechanical ventilation and extubation outcomes. METHODS: Systematic review of scientific articles using four electronic databases: PubMed, Embase, PEDro and Cochrane Library. Search terms included "weaning", "extubation", "withdrawal" and "discontinuation", combined with "mechanical ventilation" and "predictive factors", "predictive parameters" and "predictors for success". In this study, we included original articles that presented predictive factors for weaning or extubation outcomes in adult patients and not restricted to a single disease. Articles not written in English were excluded. RESULTS: A total of 43 articles were included, with a total of 7929 patients and 56 different parameters related to weaning and extubation outcomes. Rapid Shallow Breathing Index (RSBI) was the most common predictor, discussed in 15 studies (2159 patients), followed by Age and Maximum Inspiratory Pressure in seven studies. The other 53 parameters were found in less than six studies. CONCLUSION: There are several parameters used to predict weaning and extubation outcomes. RSBI was the most frequently studied and seems to be an important measurement tool in deciding whether to wean/extubate a patient. Furthermore, the results demonstrated that weaning and extubation should be guided by several parameters, and not only to respiratory ones.
Authors: Antuani Rafael Baptistella; Laura Maito Mantelli; Leandra Matte; Maria Eduarda da Rosa Ulanoski Carvalho; João Antonio Fortunatti; Iury Zordan Costa; Felipe Gabriel Haro; Vanda Laís de Oliveira Turkot; Shaline Ferla Baptistella; Diego de Carvalho; João Rogério Nunes Filho Journal: PLoS One Date: 2021-03-18 Impact factor: 3.240
Authors: Lucas M Fleuren; Tariq A Dam; Michele Tonutti; Daan P de Bruin; Robbert C A Lalisang; Diederik Gommers; Olaf L Cremer; Rob J Bosman; Sander Rigter; Evert-Jan Wils; Tim Frenzel; Dave A Dongelmans; Remko de Jong; Marco Peters; Marlijn J A Kamps; Dharmanand Ramnarain; Ralph Nowitzky; Fleur G C A Nooteboom; Wouter de Ruijter; Louise C Urlings-Strop; Ellen G M Smit; D Jannet Mehagnoul-Schipper; Tom Dormans; Cornelis P C de Jager; Stefaan H A Hendriks; Sefanja Achterberg; Evelien Oostdijk; Auke C Reidinga; Barbara Festen-Spanjer; Gert B Brunnekreef; Alexander D Cornet; Walter van den Tempel; Age D Boelens; Peter Koetsier; Judith Lens; Harald J Faber; A Karakus; Robert Entjes; Paul de Jong; Thijs C D Rettig; Sesmu Arbous; Sebastiaan J J Vonk; Mattia Fornasa; Tomas Machado; Taco Houwert; Hidde Hovenkamp; Roberto Noorduijn Londono; Davide Quintarelli; Martijn G Scholtemeijer; Aletta A de Beer; Giovanni Cinà; Adam Kantorik; Tom de Ruijter; Willem E Herter; Martijn Beudel; Armand R J Girbes; Mark Hoogendoorn; Patrick J Thoral; Paul W G Elbers Journal: Crit Care Date: 2021-12-27 Impact factor: 9.097