• Medicina intensiva · May 2007

    [Oxygen cost of breathing in the prediction of successful weaning from mechanical ventilation].

    • J M Raurich and J Ibáñez.
    • Hospital Son Dureta, Palma de Mallorca, Islas Baleares, España. jmraurich@hsd.es
    • Med Intensiva. 2007 May 1; 31 (4): 172-8.

    ObjectiveTo determine whether the oxygen cost of breathing (VO2 resp) may predict successful weaning from mechanical ventilation.DesignA prospective clinical study.SettingA polyvalent intensive care unit of a teaching hospital.PatientsThirty non-consecutive mechanically ventilated patients ready to wean. Successful weaning was considered when reintubation was not needed for 48 h after extubation.InterventionsSpontaneous breathing test with a t-tube. VO2 resp was measured with the Douglas bag method.ResultsSuccessful weaning was present in 20 (67%) of 30 patients. No patient with successful weaning needed tracheal reintubation. A cut-off value for VO2 resp ConclusionThe oxygen cost of breathing has no clinical utility in predicting weaning outcome.

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