Rapid Shallow Index as Successfully Predictor of Outcome of Extubating
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Extubation success (no reintubation/adjuvant support within 48h).
研究概览
简要总结
Early extubation in ICU patients is crucial for reducing complications of prolonged ventilation, including morbidity and mortality. The Rapid Shallow Breathing Index (RSBI) is a widely used predictor for weaning patients from mechanical ventilation. This study aims to determine the predictive value of RSBI measurements for extubation success in mechanically ventilated ICU patients
详细描述
The extubation decision is a combined clinical judgment based on a passing Spontaneous Breathing Trial (SBT) and a Rapid Shallow Breathing Index (RSBI) value ≤ 105 breaths/min/L.combination of criteria (SBT + RSBI threshold) This approach is recommended to improve predictive accuracy, as neither SBT nor RSBI alone is perfectly reliable.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 22 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Adults > 22 years.
- •Mechanically ventilated patients meeting extubation readiness:
- •FiO₂ ≤ 0.4, PEEP ≤ 8 cmH₂O, PaO₂/FiO₂ ≥ 200 mmHg.
- •Respiratory rate ≤ 35 breaths/min, pH > 7.
- •Hemodynamic stability (HR ≤ 120 bpm, SBP 90-160 mmHg).
- •Glasgow Coma Scale >10, adequate cough reflex.
- •Includes postoperative, elective/emergency reintubation, and tracheostomized patients.
排除标准
- •Age <22 years.
- •Refusal of informed consent.
- •Altered mental status (e.g., traumatic brain injury).
- •Hemodynamic instability or deep sedation (RASS ≤ -2).
结局指标
主要结局
Extubation success (no reintubation/adjuvant support within 48h).
时间窗: 48 hour
no reintubation or adjuvant oxygen therapy
次要结局
未报告次要终点
研究者
sarah hamdy
lecturer of anesthesia,icu and pain management
Ain Shams University