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All writers reported our main upshot of effective extubation rate and obviously compared PS versus T-piece with medically relevant additional outcomes (price of reintubation, ICU and medical center amount of stay, and ICU and medical center mortality). Results had been expressed as chances proportion (OR) and mean difference (MD) with accompanying 95% self-confidence interval (CI). OUTCOMES Ten RCTs including 3165 clients had been included. The results of the meta-analysis show