Rapid_Shallow_Breathing_Index_RSBI v.1
Rapid Shallow Breathing Index (RSBI) predicts successful extubation, to be used only as a single component of the clinical picture.
To predict successful extubation, to be used only as a single component of the clinical picture.
Use in intubated patients breathing spontaneously who meet other clinical criteria for weaning from mechanical ventilation. Formula: RSBI (breaths/min/L) = f/VT, where f is respiratory rate and VT is tidal volume in L. Interpretation: RSBI Interpretation <105 Likely successful wean to extubation (97% sensitive, original study), "positive" >105 Likely to fail extubation, "negative" Note: in the original study, a value of 105 was not specified as being positive or negative. As always, use clinician judgment in borderline cases.
The RSBI should not be the sole determinant of extubation.
1. Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med. 1991;324(21):1445-50.
OBSERVATION.respiration.v2, OBSERVATION.covid_gram_critical_illness_risk_score.v0, OBSERVATION.tidal_volume_result.v0, EVALUATION.rapid_shallow_breathing_index.v0
