Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 26 , ISSUE 2 ( February, 2022 ) > List of Articles


Novel Use of Catheter Mount as an Alternative to T-piece

Keywords : Catheter mount, Spontaneous breathing trial, T-piece, Weaning from mechanical ventilation

Citation Information : Novel Use of Catheter Mount as an Alternative to T-piece. Indian J Crit Care Med 2022; 26 (2):246-247.

DOI: 10.5005/jp-journals-10071-24114

License: CC BY-NC 4.0

Published Online: 09-02-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Catheter mounts with swivel connectors are used to attach the endotracheal tube to the ventilator circuit, dampening jerks and drags and increasing patient comfort. We suggest a unique application of catheter mount as T-piece for weaning, eliminating the need for a single inventory purchase and repurposing a previously used item for a new use, lowering the financial burden on patients. In our ICU, catheter mounts are being used as an alternative to T-piece for 30-minute weaning trials following successful SBT trials to evaluate patients’ response to Zero PEEP (ZEEP) and therefore the probable occurrence of alveolar derecruitment to decrease extubation failure.

  1. Burns KEA, Soliman I, Adhikari NKJ, Zwein A, Wong JTY, Gomez-Builes C, et al. Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis. Crit Care 2017;21(1):127. DOI: 10.1186/s13054-017-1698-x.
  2. Harrison GA. Ayre's T-piece: a review of its modifications. Br J Anaesth 1964;36(2):115–120. DOI: 10.1093/bja/36.2.115.
  3. Sklar MC, Burns K, Rittayamai N, Lanys A, Rauseo M, Chen L, et al. Effort to breathe with various spontaneous breathing trial techniques. A physiologic meta-analysis. Am J Respir Crit Care Med 2017;195(11):1477–1485. DOI: 10.1164/rccm.201607-1338OC.
  4. Epstein SK, Ciubotaru RL. Independent effects of etiology of failure and time to reintubation on outcome for patients failing extubation. Am J Respir Crit Care Med 1998;158(2):489–493. DOI: 10.1164/ajrccm.158.2.9711045.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.