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.

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Evaluation

Are you evaluating an intubated patient who has successfully completed a spontaneous breathing test?

Yes

PaCO2

Glasgow coma score (enter from 3 to 15)

Does the patient have moderate to copious endotracheal secretions?

Yes

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

The chances of extubation failure are

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
- CROP Index
Other Testing
Criteria For Diagnosis
- Models for Prediction of Ventilator Weaning and Survival in COPD Patients
Severity, Prognosis, Stage
Complications

Therapy

Options
- Models for Prediction of Ventilator Weaning and Survival in COPD Patients
Selection
Dosage Adjustments
- Adjusting Ventilator Rate to Achieve a Desired PaCO2

Monitoring

Compliance/adherence
- Ventilator Score of Morganroth et al

Specialty

Pulmonology

Objective

other testing
severity
prognosis
stage
complications
selection
failure handling and therapy escalation
complication detection

ICD-10

T81.8 - Other complications of procedures, not elsewhere classified
Z51.8 - Other specified medical care

Info

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.

Specialty: Pulmonology

Objective: other testing, severity, prognosis, stage, complications, selection, failure handling and therapy escalation, complication detection

ICD-10: T81.8, Z51.8,

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