SCCM Resource Library-November Journal Club: Critical Care Medicine (2021)

Video Transcription

Video Summary

In this webcast, Dr. Shaurya Teran presents a study on the factors associated with withholding extubation and extubation failure in critically ill patients. The study included over 9,900 patients from eight intensive care units in Toronto. The results showed that about 38% of patients had their extubation withheld, while 13% experienced extubation failure. The study identified factors that were either concordant or discordant with these outcomes. Factors such as age, female sex, higher illness severity, and acute neurologic conditions were associated with both withholding extubation and extubation failure. Other factors, such as active malignancy and prior cardiovascular disease, were associated with reduced likelihood of withholding extubation. The study suggests that these findings can help guide extubation decision-making. Clinicians can be reassured when concordant factors are present, as their clinical judgment aligns with the study results. On the other hand, discordant factors may indicate the need to further optimize patient condition before extubation or to consider other factors that may increase the risk of extubation failure. The study also found that delayed extubation was associated with longer ICU length of stay and higher rates of tracheostomy, while mortality rates were similar between delayed and prompt extubation. Overall, the study provides valuable insights into the factors influencing extubation outcomes and may help clinicians make more informed decisions regarding extubation in critically ill patients.

Asset Subtitle

Pulmonary, 2021

Asset Caption

"The Journal Club: Critical Care Medicine webcast series focuses on articles of interest from Critical Care Medicine.

This series is held on the fourth Thursday of each month and features in-depth presentations and lively discussion by the authors.

Follow the conversation at #CritCareMed."

Meta Tag

Content Type Webcast

Knowledge Area Pulmonary

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Professional

Membership Level Select

Membership Level Associate

Tag Airway Management

Year 2021

Keywords

study

factors

withholding extubation

extubation failure

critically ill patients

Toronto

results

extubation decision-making

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