Archive for the ‘Extubation’ Tag

Extubation to NIPPV

Non-invasive ventilation immediately after extubation improves weaning outcome after acute respiratory failure: a randomized controlled trial.

Ornico SR, Lobo SM, Sanches HS, Deberaldini M, Tófoli LT, Vidal AM, Schettino GP, Amato MB, Carvalho CR, Barbas CS. Crit Care. 2013 Mar 4;17(2):R39. (full text available)

Continue reading

Advertisements

Steroids for Post Intubation Stridor

A recent Cochrane review of the use of steroids to prevent post extubation stridor in adults and children has been comprehensively reviewed by the McMaster EBM unit for BMJ Evidence. The text below is from their site, which is free access.

BACKGROUND: Post-extubation stridor may prolong length of stay in the intensive care unit, particularly if airway obstruction is severe and re-intubation proves necessary. Some clinicians use corticosteroids to prevent or treat post-extubation stridor, but corticosteroids may be associated with adverse effects ranging from hypertension to hyperglycaemia, so a systematic assessment of the efficacy of this therapy is indicated.

Continue reading

Weaning & Extubation Protocols in Neuro ICU

Rate of Re-intubation in mechanically ventilated patient neurosurgical patients : An evaluation of a systematic approach to weaning & extubation. Navalesi, P et al. Critical Care Medicine 2008 (36) 11.

This article was recently presented at QMC’s ICM journal club, who have kindly offered their presentation for inclusion on Critical Insight. You can find it in the blue box on the right, named “QMC Neuro Extubation CCM 2008”.  If your journal club would also like to submit presentations please see the “how to post” page for more info.