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By Jason Mann No BS pulmonary critical care fellow
Fayez Kheir, Leann Myers, Neeraj R Desai, Francesco Simeone
BACKGROUND: The rapid shallow breathing index (RSBI) has the best predictive value to assess readiness for weaning from mechanical ventilation. At many institutions, this index is conveniently measured without disconnecting the patient from the ventilator, but this method may be inaccurate. Because modern ventilators have a base flow in the flow trigger mode that may provide a substantial help to the patient, we hypothesized that the RSBI is significantly decreased when measured through the ventilator with flow trigger even without continuous positive airway pressure (CPAP) and pressure support (PS)...
February 2015: Journal of Intensive Care Medicine
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