Weaning of Mechanically Ventilated Patients with COVID-19: Value of Modified Burns Wean Assessment Program Scores

Abstract

Background: Most patients with acute respiratory distress syndrome (ARDS) due to COVID-19 warrant intubation and mechanical ventilation (MV). Methods : As COVID-19 is a relatively new disease to us, with distinct clinical and pathophysiologic features and with massive burden on the health care facilities, particularly the intensive care units (ICUs), it is wise to think in using tools that are feasible, easy and save time and money. Previous studies showed that modified Burns wean assessment program (mBWAP) is a good predictor of weaning success. Results: mBWAP proved useful as a good predictor of successful weaning and extubation in patients requiring long-term MV longer than 21 days, as well as in patients with respiratory disorders admitted to the respiratory ICU. Conclusion: Previous data for mBWAP are encouraging and deserve utilizing it as a predictor tool for weaning from MV in patients with COVID-19. Further prospective studies are warranted.