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extubation readiness brain injured 2014

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3 papers 25 to 100 followers
By Jason Mann No BS pulmonary critical care fellow
https://www.readbyqxmd.com/read/20428967/neurologic-examination-and-extubation-outcome-in-the-neurocritical-care-unit
#1
COMPARATIVE STUDY
Christopher D Anderson, James F Bartscher, Patricia D Scripko, Alessandro Biffi, Deborah Chase, Mary Guanci, David M Greer
BACKGROUND: Extubation failure in the neurocritical care unit (NCCU) is difficult to predict, and is an important source of prolonged intensive care, exposure to morbidity, and increased cost. METHODS: In this observational cohort study in the NCCU of a tertiary care hospital, we examined patients undergoing extubation or tracheostomy with >6 h of intubation. Observational data were collected at the time of the decision to extubate or pursue tracheostomy. The primary end-point was extubation failure within 72 h...
December 2011: Neurocritical Care
https://www.readbyqxmd.com/read/18824909/rate-of-reintubation-in-mechanically-ventilated-neurosurgical-and-neurologic-patients-evaluation-of-a-systematic-approach-to-weaning-and-extubation
#2
RANDOMIZED CONTROLLED TRIAL
Paolo Navalesi, Pamela Frigerio, Maria Pia Moretti, Maurizio Sommariva, Sergio Vesconi, Paola Baiardi, Anna Levati
OBJECTIVE: To assess whether a systematic approach to weaning and extubation (intervention) is superior to the sole physician's judgment (control) in preventing reintubation secondary to extubation failure in patients with neurologic disorders. DESIGN: Randomized controlled trial. SETTING: Intensive care unit of a large teaching hospital. PATIENTS: Three hundred eighteen intubated patients who had been receiving mechanical ventilation for at least 12 hrs and were able to trigger the ventilator...
November 2008: Critical Care Medicine
https://www.readbyqxmd.com/read/23927561/implementation-of-an-evidence-based-extubation-readiness-bundle-in-499-brain-injured-patients-a-before-after-evaluation-of-a-quality-improvement-project
#3
Antoine Roquilly, Raphaël Cinotti, Samir Jaber, Mickael Vourc'h, Florence Pengam, Pierre Joachim Mahe, Karim Lakhal, Dominique Demeure Dit Latte, Nelly Rondeau, Olivier Loutrel, Jérôme Paulus, Bertrand Rozec, Yvonnick Blanloeil, Marie-Anne Vibet, Véronique Sebille, Fanny Feuillet, Karim Asehnoune
RATIONALE: Mechanical ventilation is associated with morbidity in patients with brain injury. OBJECTIVES: This study aims to assess the effectiveness of an extubation readiness bundle to decrease ventilator time in patients with brain injury. METHODS: Before-after design in two intensive care units (ICUs) in one university hospital. Brain-injured patients ventilated more than 24 hours were evaluated during two phases (a 3-yr control phase followed by a 22-mo intervention phase)...
October 15, 2013: American Journal of Respiratory and Critical Care Medicine
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