%0 Journal Article %T Spontaneous Breathing Trial with Pressure Support-Ventilation versus “T-Tube” for Head Trauma Patient: A Randomized Controlled Clinical Trial %J Trauma Monthly %I Official Publication of the National Center for Trauma Research %Z 2251-7464 %A Yekefallah, Leili %A Namdar, Peyman %A Yaghoubi, Siamak %A Mohammadi, Sareh %D 2020 %\ 11/01/2020 %V 25 %N 6 %P 243-248 %! Spontaneous Breathing Trial with Pressure Support-Ventilation versus “T-Tube” for Head Trauma Patient: A Randomized Controlled Clinical Trial %K Spontaneous breathing trial %K Mechanical Ventilation %K Weaning %K Traumatic Brain Injury %R 10.30491/tm.2021.228558.1105 %X Background: Assessing patients’ readiness for weaning through spontaneous breathing trial (SBT) is a reliable method for improving weaning and extubation outcomes. Until now, there are controversies over the best SBT method. Objective: This study aimed to compare the clinical outcomes of the T-piece and pressure support ventilation (PSV) SBT methods among patients with traumatic brain injury. Methods: In this randomized controlled trial, 72 patients under mechanical ventilation were purposively recruited from the intensive care unit of Shahid Rajaei hospital, Qazvin, Iran, and randomly allocated to an intervention and a control group. SBT was conducted in the intervention and control groups through the T-piece and PSV (with pressure support of less than 8 cm H2O), respectively. The groups were compared with each other respecting weaning outcomes, extubation success, length of mechanical ventilation, length of hospital stay, and mortality rate. Data were compared using the Chi-square and the independent-sample t-tests. Results: Weaning success rate in the T-piece group was significantly greater than the PSV group (P=0.024), while the post-weaning length of hospital stay in the T-piece group was significantly shorter than the PSV group (P=0.05). There were no significant differences in respecting extubation success rate and length of mechanical ventilation between the groups (P>0.05). Conclusion: The T-piece method for SBT could be better tolerated by patients with traumatic brain injury compared with PSV. %U https://www.traumamon.com/article_122880_74660f2fe7107014680dbcad9b4097a9.pdf