extubation failure


Also found in: Dictionary, Thesaurus, Encyclopedia.
Related to extubation failure: reintubation

extubation failure

Respiratory failure after discontinuation of mechanical ventilation, accompanied by the need to reintubate the patient.
See also: failure
References in periodicals archive ?
[11] aimed to determine, in a pilot study, whether measures of upper-limb and neck-muscle strength, as well as muscle endurance, are associated with spontaneous breathing trial (SBT) and/or extubation failure. The assessment of these potential contributors could provide a more holistic assessment of readiness to wean/extubate.
Esteban et al., "Risk factors for extubation failure in patients following a successful spontaneous breathing trial," Chest, vol.
In conclusion, the finding of neurologically driven breathing patterns should be considered in predicting extubation failure.
(3) They showed that using a flow rate of 8 L/min, there was no difference in the rates of extubation failure. A study by Spence showed that HFNC could be replaced by NCPAP at a flow rate of 3 min/L or more in respiratory care of infants.
Extubation failure is defined as the inability to sustain spontaneous breathing after removal of the endotracheal tube and need for reintubation within 48 hours following extubation.
Notably the GCS and effectiveness of a patient's cough were deemed more important for prediction of extubation success rather than commencement of the weaning process, in accord with previously identified differences between extubation failure and weaning failure (27).
Other studies have shown that, compared with conventional CPAP devices, infant flow devices result in a reduced oxygen requirement, decrease the work of breathing, and sometimes decrease extubation failure.
Association of primary outcome (extubation failure) and SBT (secondary outcome) with muscle strength was assessed using Fisher's exact test and frequencies with percentages were reported by strength category over outcome.