We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Weaning strategy in patients at low-to-medium risk of extubation failure.
- Authors
Jha, Ajay Kumar
- Abstract
This comment is a response to a study on weaning strategies in patients at low-to-medium risk of extubation failure. The original study concluded that aggressive screening combined with a conservative spontaneous breathing trial (SBT) was the best strategy for minimizing the time to extubation without increasing the reintubation rate. However, the commenter disagrees with this interpretation and offers alternative explanations based on the study's findings. They argue that the conservative-conservative group had a higher number of patients with difficult weaning characteristics, which affected the results. They also suggest that the difference in management practices and thresholds for reintubation among intensive care units and clinicians may have influenced the reintubation rate. The commenter believes that a comparable incidence of reintubation in the aggressive-conservative group could be due to a proactive conservative management strategy. They also note that the aggressive SBT approach improved SBT success. However, they question the objectivity of the screening criteria used in the study. Overall, the commenter presents alternative perspectives and raises questions about the original study's conclusions.
- Subjects
EXTUBATION
- Publication
Intensive Care Medicine, 2024, Vol 50, Issue 6, p997
- ISSN
0342-4642
- Publication type
Article
- DOI
10.1007/s00134-024-07418-3