Association between microcirculation in spontaneous breathing trial and extubation success.

Humans Airway Extubation Microcirculation Ventilator Weaning
Mechanical ventilation Microcirculation Spontaneous breathing trial Weaning

Journal

Microvascular research
ISSN: 1095-9319
Titre abrégé: Microvasc Res
Pays: United States
ID NLM: 0165035

Informations de publication

Date de publication:
07 2023
Historique:
received: 28 02 2023
revised: 03 05 2023
accepted: 16 05 2023
medline: 13 6 2023
pubmed: 20 5 2023
entrez: 19 5 2023
Statut: ppublish

Résumé

This study assessed the association between changes in sublingual microcirculation after a spontaneous breathing trial (SBT) and successful extubation. Sublingual microcirculation was assessed using an incident dark-field video microscope before and after each SBT and before extubation. Microcirculatory parameters before the SBT, at the end of the SBT, and before extubation were compared between the successful and failed extubation groups. Forty-seven patients were enrolled and analysed in this study (34 patients in the successful extubation group and 13 patients in the failed extubation group). At the end of the SBT, the weaning parameters did not differ between the two groups. However, the total small vessel density (21.2 [20.4-23.7] versus 24.9 [22.6-26.5] mm/mm More patients are required to investigate the difference between baseline microcirculation before a successful SBT and the change in microcirculation at the end of the SBT between the successful and failed extubation groups. Better sublingual microcirculatory parameters at the end of SBT and before extubation are associated with successful extubation.

Identifiants

DOI: 10.1016/j.mvr.2023.104552 PMID: 37207721
pubmed: 37207721
pii: S0026-2862(23)00078-X
doi: 10.1016/j.mvr.2023.104552
pii:
doi:

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

104552

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Competing interest We declare that we have no conflicts of interest in the authorship or publication of this contribution.

Auteurs

Ming-Hann Shin (MH)

Institute of Emergency and Critical Care Medicine, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Beitou Dist., Taipei 112304, Taiwan; Division of Respiratory Therapy, Department of Integrated Diagnostic and Therapeutics, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Taipei 10002, Taiwan. Electronic address: 106731@ntuh.gov.tw.

Han-Shui Hsu (HS)

Institute of Emergency and Critical Care Medicine, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Beitou Dist., Taipei 112304, Taiwan; Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei 11217, Taiwan. Electronic address: hsuhs@vghtpe.gov.tw.

Jung-Yien Chien (JY)

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Taipei, Taiwan. Electronic address: jychien@ntu.edu.tw.

Chun-Kai Huang (CK)

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Taipei, Taiwan.

Lu-Cheng Kuo (LC)

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Taipei, Taiwan. Electronic address: kuolc@ntu.edu.tw.

Tien-Mei Shun (TM)

Division of Respiratory Therapy, Department of Integrated Diagnostic and Therapeutics, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Taipei 10002, Taiwan.

Yi-Tsung Lin (YT)

Institute of Emergency and Critical Care Medicine, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Beitou Dist., Taipei 112304, Taiwan; Division of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei 11217, Taiwan. Electronic address: ytlin8@vghtpe.gov.tw.

Yu-Chang Yeh (YC)

Department of Anesthesiology, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Taipei 10002, Taiwan. Electronic address: tonyyeh@ntuh.gov.tw.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Association between microcirculation in...
questionsmedicales.fr › Techniques d'investigation › Extubation › Association between microcirculation in...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Circulation sanguine › Microcirculation › Association between microcirculation in...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Sevrage de la ventilation mécanique › Association between microcirculation in...