SBT and SAT spontaneous awakening and breathing trials

• related: ICU intensive care unit
• tags: #literature
• source: AHRQ

---

• initiate SBT when ventilator is at lowest setting
• ABC trial showed SBT with SAT is beneficial
• DahLIA trial found precedex helps earlier extubation in agitated patients
• spice III found higher mortality in younger patients with precedex
• 30 min SBT is better than 2 hours SBT

SAT

Contraindications

• needing more sedation for agitation, seizure, withdrawal
• paralyzed
• increased intracranial pressure
• active MI in last 24 hours

Failing SAT

• signs of respiratory distress
• signs of agitation, pain, anxiety
• hypoxia
• arrythmia

SBT

Contraindications

• needing high vent settings, PEEP > 8, FiO2 > 50%
• No spontaneous respiratory effort in 5 min period
• increased intracranial pressure
• very high pressor requirements

Failing SBT

• sedation is restarted at half prior dose if patient fails either SAT or SBT

Links to this note

• ICU intensive care unit
  • SBT and SAT spontaneous awakening and breathing trials
• DahLIA trial found precedex helps earlier extubation in agitated patients
  • related: SBT and SAT spontaneous awakening and breathing trials
• spice III found higher mortality in younger patients with precedex
  • related: SBT and SAT spontaneous awakening and breathing trials, ICU sedation
• 30 min SBT is better than 2 hours SBT
  • related: SBT and SAT spontaneous awakening and breathing trials
• ABC trial showed SBT with SAT is beneficial
  • related: SBT and SAT spontaneous awakening and breathing trials
• initiate SBT when ventilator is at lowest setting
  • related: SBT and SAT spontaneous awakening and breathing trials