Impact of Spontaneous Breathing Trial on Work of Breathing Indices Derived From Esophageal Pressure, Electrical Activity of the Diaphragm, and Oxygen Consumption in Children.
indirect calorimetry
mechanical ventilation
pediatric intensive care unit
weaning
work of breathing
Journal
Respiratory care
ISSN: 1943-3654
Titre abrégé: Respir Care
Pays: United States
ID NLM: 7510357
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
pubmed:
13
12
2018
medline:
6
5
2020
entrez:
13
12
2018
Statut:
ppublish
Résumé
The present study aimed to characterize the behavior of 3 components of respiratory muscle function during mechanical ventilation weaning in children to better understand the respective impact of a spontaneous breathing trial on ventilatory mechanical action (esophageal pressure [P This was a prospective single-center study. All children > 1 months and <18 y old who were intubated and on mechanical ventilation, and who were hospitalized in the pediatric ICU were eligible. Subjects considered as ready to extubate were included. Simultaneous recordings of oxygen consumption, P Twenty subjects (median age, 5.5 mo) were included. Half of them were admitted for a respiratory cause. The increase in P In these children who were critically ill, a spontaneous breathing trial induced a moderate and nonsignificant increase in work of breathing, as reflected by the respiratory drive with EA
Sections du résumé
BACKGROUND
BACKGROUND
The present study aimed to characterize the behavior of 3 components of respiratory muscle function during mechanical ventilation weaning in children to better understand the respective impact of a spontaneous breathing trial on ventilatory mechanical action (esophageal pressure [P
METHODS
METHODS
This was a prospective single-center study. All children > 1 months and <18 y old who were intubated and on mechanical ventilation, and who were hospitalized in the pediatric ICU were eligible. Subjects considered as ready to extubate were included. Simultaneous recordings of oxygen consumption, P
RESULTS
RESULTS
Twenty subjects (median age, 5.5 mo) were included. Half of them were admitted for a respiratory cause. The increase in P
CONCLUSIONS
CONCLUSIONS
In these children who were critically ill, a spontaneous breathing trial induced a moderate and nonsignificant increase in work of breathing, as reflected by the respiratory drive with EA
Identifiants
pubmed: 30538160
pii: respcare.06351
doi: 10.4187/respcare.06351
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
509-518Commentaires et corrections
Type : CommentIn
Informations de copyright
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