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October 28, 2025 • 30 mins

Spontaneous Breathing Trials (SBTs) are the gold-standard test to determine whether a patient can be safely extubated from mechanical ventilation.

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In this episode, we break down everything you need to know: What SBTs are and why they matter. Prerequisites before starting a trial. The different SBT methods: T-piece, Pressure Support Ventilation (PSV), and CPAP. How to assess patient success with RSBI, vital signs, and clinical markers. Landmark studies, including Esteban et al. (NEJM 1996) and Thille et al. (JAMA 2016). A full review of Tanios et al. (Crit Care Med 2016) evaluating RSBI in modern ICUs.

Link to video: https://www.youtube.com/watch?v=hvipBHX2BAQ

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