Early extubation in ICU patients is crucial for reducing complications of prolonged ventilation, including morbidity and mortality. The Rapid Shallow Breathing Index (RSBI) is a widely used predictor for weaning patients from mechanical ventilation. This study aims to determine the predictive value of RSBI measurements for extubation success in mechanically ventilated ICU patients

The extubation decision is a combined clinical judgment based on a passing Spontaneous Breathing Trial (SBT) and a Rapid Shallow Breathing Index (RSBI) value ≤ 105 breaths/min/L.combination of criteria (SBT + RSBI threshold) This approach is recommended to improve predictive accuracy, as neither SBT nor RSBI alone is perfectly reliable.

Inclusion Criteria:

• • Adults > 22 years.

  • Mechanically ventilated patients meeting extubation readiness:

    • FiO₂ ≤ 0.4, PEEP ≤ 8 cmH₂O, PaO₂/FiO₂ ≥ 200 mmHg.
    • Respiratory rate ≤ 35 breaths/min, pH > 7.30.
    • Hemodynamic stability (HR ≤ 120 bpm, SBP 90-160 mmHg).
    • Glasgow Coma Scale >10, adequate cough reflex.

  • Includes postoperative, elective/emergency reintubation, and tracheostomized patients.

Exclusion Criteria:

• Age <22 years.
• Refusal of informed consent.
• Altered mental status (e.g., traumatic brain injury).
• Hemodynamic instability or deep sedation (RASS ≤ -2).

mechnically ventilated patient eligable for extubation