Duration of Spontaneous Breathing Trials in Children

Reply to Havan et al.

“…We would like to thank Havan and colleagues for their thoughtful letter. We are excited to see that the guidelines gained international attention and generated discussion in the pediatric critical care community about ventilator liberation ( 1 , 2 ). The letter highlights an important question about methods to perform spontaneous breathing trials (SBTs) in children and specifically questions why the recommendations related to continuous positive airway pressure (CPAP) or pressure support (PS) augmentation did not specifically address the use of T-piece and automatic tube compensation (ATC) ( 3 , 4 ).…”