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- Shawn R Pawson and Jack L DePriest.
- Department of Internal Medicine, Memorial Medical Center, 1086 Franklin Street, Johnstown, PA 15905, USA.
- Resp Care. 2004 Nov 1; 49 (11): 1316-9.
BackgroundThe utility of routinely obtaining arterial blood gas analyses (ABGs) prior to extubation in patients who have successfully completed a spontaneous breathing trial is not known.ObjectiveReview our practices and determine our extubation success rate with a policy of selective ABG utilization.MethodsRetrospective chart review.ResultsWe reviewed 54 extubations of 52 patients. Sixty-five percent of the extubations were performed without obtaining an ABG after the spontaneous breathing trial. The extubation success rate was 94% for the entire group and was the same regardless of whether an ABG measurement was obtained (94.7% vs 94.3%, respectively).ConclusionABG measurement does not appear to be a prerequisite to extubation following a clinically successful spontaneous breathing trial.
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