Respiratory care
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Editorial Observational Study
Predicting Extubation Outcome by Cough Peak Flow Measured Using a Built-in Ventilator Flow Meter.
Successful weaning from mechanical ventilation depends on the patient's ability to cough efficiently. Cough peak flow (CPF) could predict extubation success using a dedicated flow meter but required patient disconnection. We aimed to predict extubation outcome using an overall model, including cough performance assessed by a ventilator flow meter. ⋯ CPF measured using the flow meter of an ICU ventilator was able to predict extubation success and to build a composite score to predict extubation failure. The results were close to that found in previous studies that used a dedicated flow meter. This could help to identify high-risk subjects to prevent extubation failure. (ClinicalTrials.gov registration NCT02847221.).
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Editorial Comment
Optimizing Mechanical Ventilation in the Neonatal ICU.