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

LETTER TO THE EDITOR

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).


Abstract

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.


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  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.
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