Use of the rapid/shallow breathing index as an indicator of patient work of breathing during pressure support ventilation☆
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Cited by (25)
Diaphragmatic rapid shallow breathing index for predicting weaning outcome from mechanical ventilation: Comparison with traditional rapid shallow breathing index
2019, Egyptian Journal of AnaesthesiaCitation Excerpt :In contrast to the original study of Yang and Tobin [20] our results showed that weaning failure patients had a lower RSBI at 1 min it was 63.68 ± 10.99 and 66.78 ± 12.3 in group I and II respectively and at 30 min it was 78.94 ± 9.6 in group I and 78.64 ± 14.2 in group II. The predictive value of RSBI was variable in different studies that could be attributed to differences in study populations, ventilator settings, underlying illness, body position, and size of endotracheal tube [21–26]. It was reported that RSBI is not a good predictor for patients whose primary problem was related to poor cough, increased secretions and compromised airway protection [27,28].
Serial measurements of f/V<inf>T</inf> can predict extubation failure in patients with f/V<inf>T</inf> ≤ 105?
2008, Journal of Critical CareCitation Excerpt :In a recent review of 65 studies of weaning predictors, Meade et al [6] verified that f/VT was the main promising predictor in trials of unassisted breathing, but pooled results for this parameter were still limited (highest likelihood ratio, 2.23). Measurements of f/VT have been shown to be affected by ventilatory support settings and by factors unrelated to respiratory muscle capacity, such as sex, age, ETT size, body position, underlying illness, use of sedatives, anxiety, agitation, and arousal [10,16,20]. Epstein et al [16,18] suggested that f/VT accuracy depends on the underlying illness, and Vallverdú et al [13] found that respiratory failure was a potential cause for misinterpretation.
Predictive value of rapid shallow breathing index measured at initiation and termination of a 2-hour spontaneous breathing trial for weaning outcome in ICU patients
2006, Journal of the Formosan Medical AssociationVariations in the measurement of weaning parameters: A survey of respiratory therapists
2002, ChestCitation Excerpt :The original report identified a threshold value of 105, obtained with patients breathing through a T-tube.2 Other investigators have examined the ratio with patients receiving partial support (CPAP or PS) or combinations of both modes with different levels of pressure or have followed the ratio over time.21,22,23 They have either reported a decline in its predictive capability or a need to adjust the ratio higher when using added pressure.
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Presented at the Fifty-fourth Annual Meeting of the Central Surgical Association, Chicago, Ill., March 7–9, 1997.