Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Call for Abstracts
    • 2022 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Call for Abstracts
    • 2022 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal
  • Twitter
  • Facebook
  • YouTube
Research ArticleOriginal Research

Extubation Readiness Practices and Barriers to Extubation in Pediatric Subjects

Johnny M Krasinkiewicz, Matthew L Friedman, James E Slaven, Riad Lutfi, Samer Abu-Sultaneh and Alvaro J Tori
Respiratory Care April 2021, 66 (4) 582-590; DOI: https://doi.org/10.4187/respcare.08332
Johnny M Krasinkiewicz
Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Matthew L Friedman
Division of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
James E Slaven
Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Riad Lutfi
Division of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Samer Abu-Sultaneh
Division of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alvaro J Tori
Division of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

REFERENCES

  1. 1.↵
    1. Khemani RG,
    2. Markovitz BP,
    3. Curley MAQ
    . Characteristics of children intubated and mechanically ventilated in 16 PICUs. Chest 2009;136(3):765-771.
    OpenUrlCrossRefPubMed
  2. 2.↵
    1. Farias JA,
    2. Fernández A,
    3. Monteverde E,
    4. Flores JC,
    5. Baltodano A,
    6. Menchaca A,
    7. et al
    . Mechanical ventilation in pediatric intensive care units during the season for acute lower respiratory infection: a multicenter study. Pediatr Crit Care Med 2012;13(2):158-164.
    OpenUrlPubMed
  3. 3.↵
    1. Slutsky AS
    . Lung injury caused by mechanical ventilation. Chest 1999;116(1 Suppl):9S-15S.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.
    1. Ricard J-D,
    2. Dreyfuss D,
    3. Saumon G
    . Ventilator-induced lung injury. Curr Opin Crit Care 2002;8(1):12-20.
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Goligher EC,
    2. Dres M,
    3. Patel BK,
    4. Sahetya SK,
    5. Beitler JR,
    6. Telias I,
    7. et al
    . Lung- and diaphragm-protective ventilation. Am J Respir Crit Care Med 2020;202(7):950-961.
    OpenUrl
  6. 6.↵
    1. Khemani RG,
    2. Sekayan T,
    3. Hotz J,
    4. Flink RC,
    5. Rafferty GF,
    6. Iyer N,
    7. et al
    . Risk factors for pediatric extubation failure: the importance of respiratory muscle strength. Crit Care Med 2017;45(8):e798-e805.
    OpenUrl
  7. 7.↵
    1. Tobias JD
    . Tolerance, withdrawal, and physical dependency after long-term sedation and analgesia of children in the pediatric intensive care unit. Crit Care Med 2000;28(6):2122-2132.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Kurachek SC,
    2. Newth CJ,
    3. Quasney MW,
    4. Rice T,
    5. Sachdeva RC,
    6. Patel NR,
    7. et al
    . Extubation failure in pediatric intensive care: a multiple-center study of risk factors and outcomes. Crit Care Med 2003;31(11):2657-2664.
    OpenUrlCrossRefPubMed
  9. 9.
    1. Silva-Cruz AL,
    2. Velarde-Jacay K,
    3. Carreazo NY,
    4. Escalante-Kanashiro R
    . Risk factors for extubation failure in the intensive care unit. Rev Bras Ter Intensiva 2018;30(3):294-300.
    OpenUrl
  10. 10.↵
    1. Farias JA,
    2. Alía I,
    3. Retta A,
    4. Olazarri F,
    5. Fernández A,
    6. Esteban A,
    7. et al
    . An evaluation of extubation failure predictors in mechanically ventilated infants and children. Intensive Care Med 2002;28(6):752-757.
    OpenUrlCrossRefPubMedWeb of Science
  11. 11.↵
    1. Simonassi J,
    2. Bonora Sanso JP
    . Prevalence of extubation and associated risk factors at a tertiary care pediatric intensive care unit. Arch Argent Pediatr 2019;117(2):87-93.
    OpenUrl
  12. 12.
    1. Khan N,
    2. Brown A,
    3. Venkataraman ST
    . Predictors of extubation success and failure in mechanically ventilated infants and children. Crit Care Med 1996;24(9):1568-1579.
    OpenUrlCrossRefPubMedWeb of Science
  13. 13.↵
    1. Edmunds S,
    2. Weiss I,
    3. Harrison R
    . Extubation failure in a large pediatric ICU population. Chest 2001;119(3):897-900.
    OpenUrlCrossRefPubMedWeb of Science
  14. 14.↵
    1. Fioretto JR,
    2. Ribeiro CF,
    3. Carpi MF,
    4. Bonatto RC,
    5. Moraes MA,
    6. Fioretto EB,
    7. Fagundes DJ
    . Comparison between noninvasive mechanical ventilation and standard oxygen therapy in children up to 3 years old with respiratory failure after extubation: a pilot prospective randomized clinical study. Pediatr Crit Care Med 2015;16(2):124-130.
    OpenUrlPubMed
  15. 15.↵
    1. Yehya N
    . Gasping at straws: role of pressure support during spontaneous breathing trials in children. Pediatr Crit Care Med 2020;21(7):699-700.
    OpenUrl
  16. 16.↵
    1. Chiwane SS,
    2. Sarnaik AP
    . Postextubation stridor: what's all that beyond the noise? Pediatr Crit Care Med 2017;18(5):492-494.
    OpenUrl
  17. 17.↵
    1. Veder LL,
    2. Joosten KFM,
    3. Schlink K,
    4. Timmerman MK,
    5. Hoeve LJ,
    6. van der Schroeff MP,
    7. Pullens B
    . Post-extubation stridor after prolonged intubation in the pediatric intensive care unit (PICU): a prospective observational cohort study. Eur Arch Otorhinolaryngol 2020;277(6):1725-1731.
    OpenUrl
  18. 18.↵
    1. Abu-Sultaneh S,
    2. Hole AJ,
    3. Tori AJ,
    4. Benneyworth BD,
    5. Lutfi R,
    6. Mastropietro CW
    . An interprofessional quality improvement initiative to standardize pediatric extubation readiness assessment. Pediatr Crit Care Med 2017;18(10):e463-e471.
    OpenUrl
  19. 19.↵
    1. Loberger JM,
    2. Jones RM,
    3. Prabhakaran P
    . A respiratory therapist-driven pathway improves timeliness of extubation readiness assessment in a single PICU. Pediatr Crit Care Med 2020; 21(8):e513-e521.
    OpenUrl
  20. 20.↵
    1. Foronda FK,
    2. Troster EJ,
    3. Farias JA,
    4. Barbas CS,
    5. Ferraro AA,
    6. Faria LS,
    7. et al
    . The impact of daily evaluation and spontaneous breathing test on the duration of pediatric mechanical ventilation: a randomized controlled trial. Crit Care Med 2011;39(11):2526-2533.
    OpenUrlPubMed
  21. 21.↵
    1. Krasinkiewicz J,
    2. Friedman ML,
    3. Slaven JE,
    4. Tori AJ,
    5. Lutfi R,
    6. Abu-Sultaneh S
    . Progression of respiratory support following pediatric extubation. Pediatr Crit Care Med. 2020. [Epub ahead of print].
  22. 22.↵
    1. Newth CJ,
    2. Venkataraman S,
    3. Willson DF,
    4. Meert KL,
    5. Harrison R,
    6. Dean JM,
    7. et al
    . E. Weaning and extubation readiness in pediatric patients. Pediatr Crit Care Med 2009;10(1):1-11.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Girard TD,
    2. Alhazzani W,
    3. Kress JP,
    4. Ouellette DR,
    5. Schmidt GA,
    6. Truwit JD,
    7. et al
    . An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: liberation from mechanical ventilation in critically ill adults. rehabilitation protocols, ventilator liberation protocols, and cuff leak tests. Am J Respir Crit Care Med 2017;195(1):120-133.
    OpenUrl
  24. 24.↵
    1. Pun BT,
    2. Balas MC,
    3. Barnes-Daly MA,
    4. Thompson JL,
    5. Aldrich JM,
    6. Barr J,
    7. et al
    . Caring for critically ill patients with the ABCDEF bundle: results of the ICU liberation collaborative in over 15,000 adults. Crit Care Med 2019;47(1):3-14.
    OpenUrlPubMed
  25. 25.↵
    1. Choong K,
    2. Abu-Sultaneh S
    . Applying the ICU liberation bundle to critically ill children. Critical Connections: The Complete News Source for Critical Care Professionals 2020;19(1):12-13.
    OpenUrl
  26. 26.↵
    1. Khemani RG,
    2. Hotz JC,
    3. Klein MJ,
    4. Kwok J,
    5. Park C,
    6. Lane C,
    7. et al
    . A phase II randomized controlled trial for lung and diaphragm protective ventilation (Real-time Effort Driven VENTilator management). Contemp Clin Trials 2020;88:105893.
    OpenUrl
  27. 27.
    1. Epstein SK
    . Etiology of extubation failure and the predictive value of the rapid shallow breathing index. Am J Respir Crit Care Med 1995;152(2):545-549.
    OpenUrlCrossRefPubMedWeb of Science
  28. 28.↵
    1. Cohen J,
    2. Shapiro M,
    3. Grozovski E,
    4. Fox B,
    5. Lev S,
    6. Singer P
    . Prediction of extubation outcome: a randomised, controlled trial with automatic tube compensation vs. pressure support ventilation. Crit Care 2009;13(1):R21.
    OpenUrlPubMed
  29. 29.↵
    1. Khemani RG,
    2. Hotz J,
    3. Morzov R,
    4. Flink RC,
    5. Kamerkar A,
    6. LaFortune M,
    7. et al
    . Pediatric extubation readiness tests should not use pressure support. Intensive Care Med 2016;42(8):1214-1222.
    OpenUrl
  30. 30.↵
    1. van Dijk J,
    2. Blokpoel RGT,
    3. Koopman AA,
    4. Dijkstra S,
    5. Burgerhof JGM,
    6. Kneyber MCJ
    . The effect of pressure support on imposed work of breathing during paediatric extubation readiness testing. Ann Intensive Care 2019;9(1):78.
    OpenUrl
  31. 31.↵
    1. Curley MA,
    2. Harris SK,
    3. Fraser KA,
    4. Johnson RA,
    5. Arnold JH
    . State Behavioral Scale: a sedation assessment instrument for infants and young children supported on mechanical ventilation. Pediatr Crit Care Med 2006;7(2):107-114.
    OpenUrlCrossRefPubMedWeb of Science
  32. 32.↵
    1. Rosenberg L,
    2. Traube C
    . Sedation strategies in children with pediatric acute respiratory distress syndrome (PARDS). Ann Transl Med 2019;7(19):509.
    OpenUrl
  33. 33.↵
    1. Finholt DA,
    2. Henry DB,
    3. Raphaely RC
    . Factors affecting leak around tracheal tubes in children. Can Anaesth Soc J 1985;32(4):326-329.
    OpenUrlCrossRefPubMedWeb of Science
  34. 34.↵
    1. Schneider J,
    2. Mulale U,
    3. Yamout S,
    4. Pollard S,
    5. Silver P
    . Impact of monitoring endotracheal tube cuff leak pressure on postextubation stridor in children. J Crit Care 2016;36:173-177.
    OpenUrl
  35. 35.
    1. Patel AB,
    2. Ani C,
    3. Feeney C
    . Cuff leak test and laryngeal survey for predicting post-extubation stridor. Indian J Anaesth 2015;59(2):96-102.
    OpenUrlPubMed
  36. 36.↵
    1. Mhanna MJ,
    2. Anderson IM,
    3. Iyer NP,
    4. Baumann A
    . The use of extubation readiness parameters: a survey of pediatric critical care physicians. Respir Care 2014;59(3):334-339.
    OpenUrlAbstract/FREE Full Text
  37. 37.↵
    1. Khemani RG,
    2. Hotz J,
    3. Morzov R,
    4. Flink R,
    5. Kamerkar A,
    6. Ross PA,
    7. Newth CJL
    . Evaluating risk factors for pediatric post-extubation upper airway obstruction using a physiology-based tool. Am J Respir Crit Care Med 2016;193(2):198-209.
    OpenUrl
  38. 38.↵
    1. Baranwal AK,
    2. Meena JP,
    3. Singhi SC,
    4. Muralidharan J
    . Dexamethasone pretreatment for 24 h versus 6 h for prevention of postextubation airway obstruction in children: a randomized double-blind trial. Intensive Care Med 2014;40(9):1285-1294.
    OpenUrl
  39. 39.↵
    1. Burns KEA,
    2. Wong JTY,
    3. Dodek P,
    4. Cook DJ,
    5. Lamontagne F,
    6. Cohen A,
    7. et al
    . Frequency of screening for weaning from mechanical ventilation: two contemporaneous proof-of-principle randomized controlled trials. Crit Care Med 2019;47(6):817-825.
    OpenUrl
PreviousNext
Back to top

In this issue

Respiratory Care: 66 (4)
Respiratory Care
Vol. 66, Issue 4
1 Apr 2021
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author

 

Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Extubation Readiness Practices and Barriers to Extubation in Pediatric Subjects
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Extubation Readiness Practices and Barriers to Extubation in Pediatric Subjects
Johnny M Krasinkiewicz, Matthew L Friedman, James E Slaven, Riad Lutfi, Samer Abu-Sultaneh, Alvaro J Tori
Respiratory Care Apr 2021, 66 (4) 582-590; DOI: 10.4187/respcare.08332

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Extubation Readiness Practices and Barriers to Extubation in Pediatric Subjects
Johnny M Krasinkiewicz, Matthew L Friedman, James E Slaven, Riad Lutfi, Samer Abu-Sultaneh, Alvaro J Tori
Respiratory Care Apr 2021, 66 (4) 582-590; DOI: 10.4187/respcare.08332
Reddit logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

Cited By...

Keywords

  • airway extubation
  • extubation failure
  • ventilator weaning
  • intensive care units
  • Pediatric

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About the Journal
  • Editorial Board

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire