GuidelineCurrent

AARC — AARC Clinical Practice Guideline: Spontaneous Breathing Trials for Liberation From Adult Mechanical Ventilation

American Association for Respiratory Care, 2024

For adult ventilator liberation, an RSBI is not required to determine readiness for an SBT; SBTs may be performed with or without low-level pressure support; use a standardized daily SBT process; and do not increase FiO2 solely for the SBT.

Conditional recommendationModerate certainty

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Clinical Context & Relevant Topics (2)

Disease Reference

Invasive Mechanical Ventilation

Complete clinical topic overview. For the full 10-level interactive course, visit Master MV. Covers core ventilator modes, respiratory mechanics (Cstat, Raw, driving pressure), waveform dyssynchrony analysis, VILI prevention, and liberation protocols.

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Tracheostomy & Difficult Ventilator Liberation

Systematic evaluation of failed liberation, tracheostomy timing/selection, cuff and secretion management, and multidisciplinary weaning.

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