Trials directly comparing alternative spontaneous breathing trial techniques

ccforum.biomedcentral.com July 4, 2017

tracheal-intubation-during-adult-in-hospital-cardiac-arrest-and-survival

The effect of alternative spontaneous breathing trial (SBT) techniques on extubation success and other clinically important outcomes is uncertain. Patients undergoing PS (vs T-piece) SBTs appear to be 6% (95% CI 2–10%) more likely to be extubated successfully and, if the results of an outlier trial are excluded, 6% (95% CI 1–12%) more likely to pass an SBT. Future trials should investigate patients for whom SBT and extubation outcomes are uncertain and compare techniques that maximize differences in support.