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Spontaneous Breathing Trial

WHAT IS IT?

A Spontaneous Breathing Trial (SBT) is a type of breathing test done to see if a patient is ready for extubation.





HOW IT WORKS

- This mode of ventilation is testing the strength and ability of the patient to breath on his or her own with the least amount of support from the Ventilator.


- Mode on the vent is Tube Compensation or Automatic Tube Compensation set at 100%. This is a TRUE SBT.


- 30min - 1 hr should be sufficient enough time to determine the extubation readiness of the patient.


- A Post SBT ABG will show if the patient fell into a respiratory acidosis during the trial indicating they are NOT ready for extubation.


- Respiratory Mechanics values gathered at the end of the SBT include VC, NIF, RSBI, and cuff leak positive or negative.


- Patient should be following commands and be A&Ox3.




WARNING

The patient should meet some kind of SBT eligibility criteria set by your hospital. DO NOT SBT CRITICALLY ILL PATIENTS as per your hospital policy.



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