Pressure support versus T tube for weaning from mechanical ventilation in adults

Parallel Pilot Trials of Screening Frequency for Liberation from Mechanical Ventilation the RELEASE Trial and SENIOR Trial Protocols

“…Third, while the Task Force on Weaning supports conduct of SBTs with either T-piece or low levels of PS with or without positive end expiratory pressure of 30 minutes duration in adults, this document is not a clinical practice guideline [31]. Fourth, a recent Cochrane Review of 9 trials found no difference between PS and T-piece on weaning success (RR 1.07, 95% CI 0.97 to 1.17, 9 studies), ICU mortality (RR 0.81, 95% CI 0.53 to 1.23, 5 studies), reintubation (RR 0.92, 95% CI 0.66 to 1.26, 7 studies), ICU and long-term weaning unit length of stay (MD -7.08 days, 95% CI -16.26 to 2.1, 2 studies), and pneumonia (RR 0.67, 95% CI 0.08 to 5.85, 2 studies) [32]. Only 4 trials in this review directly compared PS to T-piece SBTs.…”

Success or failure predictive indexes of extubation in renal transplants patients under mechanical ventilation – pilot study

“…In PSV ventilation mode or test tube -T, both choices are equally effective and safe to the patient. (12,13) At the end, were collected the realization time of the patient, success or failure information during the procedure, reintubation within 48 hours and its causes. It was also evaluated the need for non-invasive ventilation post extubation, use of vasoactive drugs, if the patient was on hemodialysis or peritoneal dialysis and the SAPS (Simplified Acute Physiology Score) severity scores, which the higher is the score the worst is considered the patient's health status (14) and SOFA (Sepsis-related Organ Failure Assesment).…”

Comparison of Proportional Assist Ventilation plus, T-Tube Ventilation, and Pressure Support Ventilation as Spontaneous Breathing Trials for Extubation: A Randomized Study–Reply

“…7,8 The fact that the incidence of tracheostomy was larger in a group does not mean greater efficiency in predicting extubation failure or success: The decision to perform tracheotomy includes several issues, like consciousness level, underlying medical conditions, and etiology of respiratory failure. 9 Therefore, Mathews et al share our conclusions, that proportional assist ventilation plus is a safe method and is efficient to perform a spontaneous breathing trial, comparable with other existing methods (T-tube and pressure support ventilation), and a clinical option for clinicians and respiratory practitioners in the ICU.…”