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

Spontaneous Breathing Trials With T-Piece or Pressure Support Ventilation

“…Overall, our results are consistent with those of a Cochrane review 14 and are applicable to the general weaning population encountered by clinicians in clinical practice. Our review, however, adds important additional information from 4 published RCTs, increasing the size of the included population (2,161 subjects here vs 1,208 subjects In addition, we defined an a priori subgroup analysis aimed at identifying different effects of the alternative SBT techniques based on weaning difficulty and the presence of COPD.…”

Spontaneous Breathing Trials With T-Piece or Pressure Support Ventilation

“…Overall, our results are consistent with those of a Cochrane review 14 and are applicable to the general weaning population encountered by clinicians in clinical practice. Our review, however, adds important additional information from 4 published RCTs, increasing the size of the included population (2,161 subjects here vs 1,208 subjects In addition, we defined an a priori subgroup analysis aimed at identifying different effects of the alternative SBT techniques based on weaning difficulty and the presence of COPD.…”

Electrical impedance tomography monitoring during spontaneous breathing trial: Physiological description and potential clinical utility

“…It is not clear in the literature whether one method of SBT is superior to another. 21 In this study, the subjects were very similar between groups, except for the increased MecV period before SBT in the T-tube group. This observation suggested that, although PSV-SBT is usually preferred in our ICU (Table 1), T-tube is reserved for subjects with an increased MecV duration and potentially considered to have a higher risk of extubation failure.…”

“…It is not clear in the literature whether one method of SBT is superior to another . In this study, the subjects were very similar between groups, except for the increased MecV period before SBT in the T‐tube group.…”

Ventilation in Trauma Patients: The First 24 h is Different!

“…Once the neurological, chest or other trauma‐related indication for ventilation has resolved the patient can be weaned onto a spontaneous mode (such as pressure‐support ventilation), prior to extubation. The use of t‐piece trials are not advocated as routine practice due to the loss of PEEP during the procedure [31].…”

Spontaneous Breathing Trials With T-Piece or Pressure Support Ventilation

“…Overall, our results are consistent with those of a Cochrane review 14 and are applicable to the general weaning population encountered by clinicians in clinical practice. Our review, however, adds important additional information from 4 published RCTs, increasing the size of the included population (2,161 subjects here vs 1,208 subjects In addition, we defined an a priori subgroup analysis aimed at identifying different effects of the alternative SBT techniques based on weaning difficulty and the presence of COPD.…”

Electrical impedance tomography monitoring during spontaneous breathing trial: Physiological description and potential clinical utility

“…It is not clear in the literature whether one method of SBT is superior to another. 21 In this study, the subjects were very similar between groups, except for the increased MecV period before SBT in the T-tube group. This observation suggested that, although PSV-SBT is usually preferred in our ICU (Table 1), T-tube is reserved for subjects with an increased MecV duration and potentially considered to have a higher risk of extubation failure.…”

“…It is not clear in the literature whether one method of SBT is superior to another . In this study, the subjects were very similar between groups, except for the increased MecV period before SBT in the T‐tube group.…”

Ventilation in Trauma Patients: The First 24 h is Different!

“…Once the neurological, chest or other trauma‐related indication for ventilation has resolved the patient can be weaned onto a spontaneous mode (such as pressure‐support ventilation), prior to extubation. The use of t‐piece trials are not advocated as routine practice due to the loss of PEEP during the procedure [31].…”

Spontaneous Breathing Trials With T-Piece or Pressure Support Ventilation

“…Overall, our results are consistent with those of a Cochrane review 14 and are applicable to the general weaning population encountered by clinicians in clinical practice. Our review, however, adds important additional information from 4 published RCTs, increasing the size of the included population (2,161 subjects here vs 1,208 subjects In addition, we defined an a priori subgroup analysis aimed at identifying different effects of the alternative SBT techniques based on weaning difficulty and the presence of COPD.…”

Electrical impedance tomography monitoring during spontaneous breathing trial: Physiological description and potential clinical utility

“…It is not clear in the literature whether one method of SBT is superior to another. 21 In this study, the subjects were very similar between groups, except for the increased MecV period before SBT in the T-tube group. This observation suggested that, although PSV-SBT is usually preferred in our ICU (Table 1), T-tube is reserved for subjects with an increased MecV duration and potentially considered to have a higher risk of extubation failure.…”

“…It is not clear in the literature whether one method of SBT is superior to another . In this study, the subjects were very similar between groups, except for the increased MecV period before SBT in the T‐tube group.…”

Ventilation in Trauma Patients: The First 24 h is Different!

“…Once the neurological, chest or other trauma‐related indication for ventilation has resolved the patient can be weaned onto a spontaneous mode (such as pressure‐support ventilation), prior to extubation. The use of t‐piece trials are not advocated as routine practice due to the loss of PEEP during the procedure [31].…”