Skip to main content

Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Role of the rapid shallow breathing index to predict the success of mechanical ventilator liberation in acute respiratory failure

  • 436 Accesses

Introduction

The rapid shallow breathing index (RSBI) is considered a good parameter to predict mechanical ventilator liberation. We hypothesized that the RSBI provides no benefit when clinical readiness criteria are met.

Methods

Adults with acute respiratory who required MV for more than 24 hours, excluding COPD, were assessed daily as a liberation protocol (Figure 1). During the RSBI step, RSBI was recorded and blinded to the researcher. The liberation process was continued regardless of the RSBI result. The primary outcome was the success rate of mechanical ventilator liberation with or without RSBI.

Figure 1
figure1

Standard mechanical ventilator weaning protocol.

Results

Analysis of 120 cases with clinical characteristics as presented in Table 1. There was no statistically significant difference between using only clinical readiness and using clinical readiness and the RSBI (92% vs. 89%, P = 0.43).

Table 1 (abstract P330). Timing diff erence between toothpaste andchlorhexidine (minutes)

Conclusion

The inclusion of RSBI in our standard mechanical ventilator liberation protocol for patients who met the clinical readiness criteria did not significantly increase the success rate of mechanical ventilator liberation.

Author information

Correspondence to C Chanpharm.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Chanpharm, C., Bhurayanontachai, R. Role of the rapid shallow breathing index to predict the success of mechanical ventilator liberation in acute respiratory failure. Crit Care 18, P300 (2014). https://doi.org/10.1186/cc13490

Download citation

Keywords

  • Public Health
  • Success Rate
  • Primary Outcome
  • Mechanical Ventilator
  • Emergency Medicine