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Prediction Rule of Mokhlesi et al for Extubation Failure Following a Successful Spontaneous Breathing Trial

Purpose: To predict the chances of extubation failure in an intubated patient who has had a successful spontaneous breathing test (SBT) using the rule of Mokhlesi et al.

Description

Mokhlesi et al developed a prediction rule for predicting the probability of extubation failure in a patient who has had a successful spontaneous breathing test. The authors are from Chicago Pritzker School of Medicine, Cook County Hospital and Northwestern University.


Patient selection: intubated patient who has successfully completed a spontaneous breathing trial

 

Parameters:

(1) PaCO2 in mm Hg)

(2) Glasgow coma score (GCS)

(3) endotracheal secretions

 

Parameter

Finding

Points

PaCO2

< 44 mm Hg

0

 

>= 44 mm Hg (hypercapnia)

1

GCS

11 to 15

0

 

<= 10

1

endotracheal secretions

none to mild

0

 

moderate to copious

1

 

 

Points for PaCO2

Points for GCS + Secretions

Rate of Extubation Failure

0

0

1%

0

>= 1

10%

1

0

10%

1

>= 1

63%

 


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Specialty

Objective

ICD-10