Evaluation of predictors of weaning from mechanical ventilation in pediatric patients

Rapid Shallow Breathing Index as a Predictor of Extubation Outcomes in Pediatric Patients Underwent Cardiac Surgeries at King Faisal Cardiac Center

“…This similar study revealed no association between the RSBI measurements and extubation outcomes [ 20 ]. In other studies about pediatric patients in general, they found an association between the measurements of RSBI prior to extubation and the extubation outcomes which is a prediction of extubation success with low RSBI similar to the results in the two hours prior to extubation RSBI measurements in our study [ 9 , 10 , 22 , 23 ]. Unlike our study, some of these studies established a threshold, cut-off point, to predict the successful extubation, but these cut-off points were variable and ranging from 6.7 to 11 [ 9 , 10 , 23 ].…”

Preliminary Evaluation of a New Index to Predict the Outcome of a Spontaneous Breathing Trial

“…Though the statistical analysis showed highly significant differences, this study included only 47 patients, similar to other weaning studies, 4,34–36 and our results need validation in a prospective multicenter study. Our screening criteria were conservative in order to tightly control the protocol and therefore allow a better comparison of the 4 SBT predictors.…”

“…The CROP index was found to be a better predictor than RSBI in a pediatric study, 34 but CROP is less often used than RSBI, mainly because of CROP's complexity. The Hypercapnia (P aCO 2 increase of Ͼ 5 mm Hg) 7 Tachycardia (heart rate increase of Ͼ 20 beats/min) 4 Hypoxemia (P aO 2 Ͻ 60 mm Hg) 2 CORE index expresses the respiratory effort with the P Imax / P 0.1 ratio, whereas the CROP index expresses it only with P Imax .…”

Prediction of extubation failure in preterm neonates

“…An alternative explanation for the con¯icting results may be dierences in policies in relating lung function data to body weight. Changes in dynamic compliance are highly correlated with body weight [15] and in one series [4], when results were corrected for body weight, there was a clearer dierentiation between results from infants in whom weaning succeeded and those from infants in whom weaning failed. We related our results to body weight, but nevertheless found that only FRC post extubation diered signi®cantly between the groups.…”