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EditorialEditor's Choice

Spontaneous Breathing Trials and Conservative Sedation Practices Reduce Mechanical Ventilation Duration in Subjects With ARDS

Richard H Kallet, Hanjing Zhuo, Vivian Yip, Antonio Gomez and Michael S Lipnick
Respiratory Care January 2018, 63 (1) 1-10; DOI: https://doi.org/10.4187/respcare.05270
Richard H Kallet
Respiratory Care Services in the Department of Anesthesia and Periopertive Care, University of California, San Francisco at Zuckerberg San Francisco General Hospital and Trauma Center.
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  • For correspondence: [email protected]
Hanjing Zhuo
Cardiovascular Research Institute, University of California, San Francisco.
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Vivian Yip
Respiratory Care Services in the Department of Anesthesia and Periopertive Care, University of California, San Francisco at Zuckerberg San Francisco General Hospital and Trauma Center.
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Antonio Gomez
Department of Pulmonary and Critical Care Medicine, University of California, San Francisco at Zuckerberg San Francisco General Hospital and Trauma Center.
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Michael S Lipnick
Department of Anesthesia and Periopertive Care, University of California, San Francisco at Zuckerberg San Francisco General Hospital and Trauma Center.
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    Fig. 1.

    Differences in median duration of mechanical ventilation, ICU length of stay, and post-ICU length of stay between the pre-protocol group and the post-protocol group whose weaning and sedation were governed by spontaneous breathing trials and daily sedation interruptions.

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    Fig. 2.

    Median, annual duration of mechanical ventilation between the pre-protocol (2002–2007) and post-protocol (2009–2016) groups.

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    Fig. 3.

    Median, annual ICU length of stay between the pre-protocol (2002–2007) and post-protocol (2009–2016) groups.

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    Fig. 4.

    Differences in mechanical ventilation duration between the pre-protocol and post-protocol groups analyzed according to ARDS etiology. Note that sepsis is non-pulmonary sepsis.

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    Fig. 5.

    Differences in ICU length of stay between the pre-protocol and post-protocol groups analyzed according to ARDS etiology. Note that sepsis is non-pulmonary sepsis.

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Respiratory Care: 63 (1)
Respiratory Care
Vol. 63, Issue 1
1 Jan 2018
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Spontaneous Breathing Trials and Conservative Sedation Practices Reduce Mechanical Ventilation Duration in Subjects With ARDS
Richard H Kallet, Hanjing Zhuo, Vivian Yip, Antonio Gomez, Michael S Lipnick
Respiratory Care Jan 2018, 63 (1) 1-10; DOI: 10.4187/respcare.05270

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Spontaneous Breathing Trials and Conservative Sedation Practices Reduce Mechanical Ventilation Duration in Subjects With ARDS
Richard H Kallet, Hanjing Zhuo, Vivian Yip, Antonio Gomez, Michael S Lipnick
Respiratory Care Jan 2018, 63 (1) 1-10; DOI: 10.4187/respcare.05270
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Keywords

  • acute respiratory distress syndrome
  • daily sedation interruption
  • mechanical ventilation
  • Spontaneous Breathing Trial

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