Rapid shallow breathing indexT piecespontaneous breathing trial中文T-piece trialWeaning ventilator guidelines 2019Weaning ProtocolWeaning from mechanical ventilationPressure support ventilationImpaired spontaneous ventilationweaning ventilator中文Extubation criteriaSpontaneous breathing trial - Wikipedia
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A goal for most patients on mechanical ventilation is to be weaned from the ventilator. The weaning process is highly dependent on the patient's pathology, ... Spontaneousbreathingtrial FromWikipedia,thefreeencyclopedia Jumptonavigation Jumptosearch Agoalformostpatientsonmechanicalventilationistobeweanedfromtheventilator.Theweaningprocessishighlydependentonthepatient'spathology,butthefinalcommonpathwaytoventilatorindependencealwaysincludesatleastonetrialofspontaneousbreathing.Trialsofspontaneousbreathinghavebeenshowntoaccuratelypredictthesuccessofspontaneousbreathing.[1] Indicationsfortrialsofspontaneousbreathing[edit] Fractionofinspiredoxygen(FIO2)lessthan50% Positiveendexpiratorypressure(PEEP)lessthan8 cmwater "Minimalventsettings" e.g.,ratioofarterialpartialpressureofoxygentoFIO2(P/Fratio)inthevicinityof400 Validmethods[edit] Inallofthemethodsbelow,thecommonendpointmeasurementisaRapidShallowBreathingIndex(TobinIndex)oflessthanorequalto105.TheRSBI("Riz-bee")issimplytheratioofrespiratoryfrequencyinrespirationsperminutetotidalvolumeinliters(f/Vt).Certainly,othermeasuressuchaspatient'smentalstatusshouldbeconsidered.E.g.,aGlasgowComaScalescoreoflessthan8isanindependentindicationforintubationintraumaticbraininjury. Brieflymovethetubingsupplyfromtheventilatortocontinuoussupplyoxygen("walloxygen") Reducepressuresupportto5 cmwater Reducecontinuouspositiveairwaypressureto5 cmwater References[edit] Thisarticleneedsadditionalcitationsforverification.Pleasehelpimprovethisarticlebyaddingcitationstoreliablesources.Unsourcedmaterialmaybechallengedandremoved.Findsources: "Spontaneousbreathingtrial" – news ·newspapers ·books ·scholar ·JSTOR(April2009)(Learnhowandwhentoremovethistemplatemessage) ^YangK,TobinMJ,Aprospectivestudyofindexespredictingtheoutcomeofweaningfrommechanicalventilation.NEnglJMed1991;324:1445-1450 Retrievedfrom"https://en.wikipedia.org/w/index.php?title=Spontaneous_breathing_trial&oldid=978377978" Categories:MedicalterminologyHiddencategories:ArticlesneedingadditionalreferencesfromApril2009Allarticlesneedingadditionalreferences Navigationmenu Personaltools NotloggedinTalkContributionsCreateaccountLogin Namespaces ArticleTalk Variants expanded collapsed Views ReadEditViewhistory More expanded collapsed Search Navigation MainpageContentsCurrenteventsRandomarticleAboutWikipediaContactusDonate Contribute HelpLearntoeditCommunityportalRecentchangesUploadfile Tools WhatlinkshereRelatedchangesUploadfileSpecialpagesPermanentlinkPageinformationCitethispageWikidataitem Print/export DownloadasPDFPrintableversion Languages Addlinks
延伸文章資訊
- 1Trials directly comparing alternative spontaneous breathing ...
After identification, patients may undergo a spontaneous breathing trial (SBT) to assess their ab...
- 2Spontaneous breathing trial - Wikipedia
A goal for most patients on mechanical ventilation is to be weaned from the ventilator. The weani...
- 3Spontaneous Breathing Trials With T-Piece or Pressure ...
Once a patient is deemed ready to breathe spontaneously, a screening test, called a spontaneous b...
- 4Effect of spontaneous breathing trial duration on ... - PubMed
The duration of spontaneous breathing trials before extubation has been set at 2 h in research st...
- 5Coordinated Spontaneous Awakening and Breathing Trials ...
Strategies for weaning patients off of mechanical ventilation are often not handled well, as the ...
