Predictors of successful extubation in reintubated patients: The impact of fluid balance during the 24 hours prior to extubation

Abstract

The liberation from mechanical ventilation is a critical moment for patient outcome. The spontaneous breathing trial (SBT) and rapid shallow breathing index (RSBI) are commonly used as standard criteria.1 Unfortunately, re-intubation is still required at a rate of 10–20% in extubated patients.2 Multiple risk factors of re-intubation have been investigated, such as age, underlying pneumonia or sepsis.3,4 Fluid balance has been reported as a crucial physiological risk factor for extubation failure,5 however, its impact remains uncertain.