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Case Reports in Critical Care
Volume 2017, Article ID 9109054, 4 pages
Case Report

Abnormal Breathing Patterns Predict Extubation Failure in Neurocritically Ill Patients

1Department of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USA
2Cleveland Clinic, Cerebrovascular Center, Neurological Institute, 9500 Euclid Avenue, Cleveland, OH 44195-5245, USA

Correspondence should be addressed to Christopher R. Newey; ude.iruossim.htlaeh@cyewen

Received 21 December 2016; Revised 3 February 2017; Accepted 7 February 2017; Published 28 February 2017

Academic Editor: Kurt Lenz

Copyright © 2017 Pragya Punj et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


In neurologically injured patients, predictors for extubation success are not well defined. Abnormal breathing patterns may result from the underlying neurological injury. We present three patients with abnormal breathing patterns highlighting failure of successful extubation as a result of these neurologically driven breathing patterns. Recognizing abnormal breathing patterns may be predictive of extubation failure and thus need to be considered as part of extubation readiness.