0
Critical Care: ICU Management and Outcomes |

Respiratory Volume Monitoring for Assessment of Ventilation and RSBI Score Pre- and Post-Extubation

Sarah Robison, MD; Daniel Eversole, PhD; Jose Diaz-Gomez, MD; John Moss, MD
Author and Funding Information

Respiratory Motion, Inc., Waltham, MA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):291A. doi:10.1016/j.chest.2016.08.304
Text Size: A A A
Published online

Extract

SESSION TITLE: ICU Management and Outcomes

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Tuesday, October 25, 2016 at 08:45 AM - 10:00 AM

PURPOSE: Respiratory failure is the most common reason for ICU readmission. While multifactorial etiologies contribute, the final common pathway leading to respiratory decompensation often escapes early recognition due to generally insufficient respiratory monitoring in non-intubated patients. Current clinical practice relies on intermittent measurement of respiratory rate, subjective clinical assessment, and secondary indicators of respiratory status, like EtCO2 and SpO2. As a result, patients often spend extra time in the ICU as a precaution, and despite current practice recommendations for early extubation, clinicians often err of the side of caution and keep patients intubated longer than necessary. Clinicians often use quantitative measures like the rapid shallow breathing index (RSBI) in intubated patients as a predictor of patient-readiness for ventilator weaning and extubation. Here we evaluate the ability of a non-invasive Respiratory Volume Monitor (RVM) that provides quantitative measurements of minute ventilation (MV), tidal volume (TV) & respiratory rate (RR) for non-intubated patients to evaluate patients’ respiratory status, including RSBI pre- and post-extubation. We propose that RSBI may be useful in non-intubated patients when making decisions regarding reintubation or the implementation of non-invasive ventilation (NIV).

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543