Search
rapid shallow breathing index
Indications:
- assess readiness for endotracheal extubation
- assess daily
Procedure:
- a spontaneous breathing trial
- interruption of sedation
- place patient on a T-tube with no positive pressure, only supplemental oxygen, or
- adjust ventilator so that it delivers only enough pressure to overcome the endotracheal tube
- ratio of respiratory rate (breaths/minute) to tidal volume (liters)
Clinical significance:
- if > 105, 95% probabilty extubation will be unsuccessful
- if < 105, 8-% probability extubation with be successful
Related
endotracheal extubation
ventilation weaning
General
index
References
- Medical Knowledge Self Assessment Program (MKSAP) 16,
American College of Physicians, Philadelphia 2012