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Weaning from mechanical ventilation [PDF]

Current Anaesthesia & Critical Care, 2006
Summary Weaning from mechanical ventilation could be defined as the gradual process of transferring the respiratory work of breathing from the ventilator to the patient. The primary goal of weaning is timeliness, which implies that weaning should be started neither too late nor too early.
VOLTA, Carlo Alberto, ALVISI V, MARANGONI E.   +2 more
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Mechanical Ventilation and Weaning

1992
Inspiration is realized by the combined activation of several inspiratory muscles in the presence of airway patency. These muscles have to oppose several forces to generate alveolar ventilation.
IOTTI, GIORGIO ANTONIO, Brochard, L, Lemaire, F.   +2 more
openaire   +2 more sources

Modes to Facilitate Ventilator Weaning [PDF]

Respiratory Care, 2012
Weaning comprises 40 percent of the duration of mechanical ventilation. Protocols to reduce weaning time and to identify candidates at the earliest possible moment have been introduced to reduce complications and costs. Increased demand for mechanical ventilation, an increase in the number of patients requiring prolonged ventilation, and resource ...
openaire   +2 more sources

Ventilator Weaning and Extubation

Critical Care Clinics
Increasing evidence supports specific approaches to liberate patients from invasive ventilation including the use of liberation protocols, inspiratory assistance during spontaneous breathing trials (SBTs), early extubation of patients with chronic obstructive pulmonary disease to noninvasive ventilation, and prophylactic use of noninvasive support ...
Karen E A, Burns, Bram, Rochwerg, Andrew J E, Seely   +2 more
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WEANING FROM MECHANICAL VENTILATION

Critical Care Clinics, 1998
For the ventilator-dependent patient, weaning should be accomplished by withdrawing support safely, efficaciously, and efficiently. Success depends largely on physiologic determinants of respiratory system function, avoidance of ventilator-associated complications, and attention to patient readiness.
David J. Scheinhorn, David J. Scheinhorn, David C. Chao   +2 more
openaire   +3 more sources

Weaning Mechanical Ventilation

2019
Invasive mechanical ventilation is a fundamental strategy to support the respiratory function when the patient can’t bear all the work of breathing required by his clinical condition [1, 2]. Even if it represents a life-saving treatment, mechanical ventilation is associated to many complications some of which can be life-threatening: ventilator ...
Maria Vargas, Pasquale Buonanno, Giuseppe Servillo   +2 more
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Intermittent Mandatory Ventilation and Weaning

International Anesthesiology Clinics, 1980
Oxygen, PEEP, and mechanical ventilatory therapy should be administered to patients in varying amounts and should be removed gradually and independently. The method of determining optimal PEEP, oxygen, and ventilation is not unlike that recommended for many other therapies.
Michal E. Douglas, John B. Downs
openaire   +3 more sources

Weaning from mechanical ventilation

Current Opinion in Anaesthesiology, 2012
Liberation from mechanical ventilation is a defining moment for intubated patients, and thus a critical clinical decision. Extubating the patient too early exposes the patient to extubation failure and reintubation. Waiting too long increases the complications of prolonged intubation.
Mohamad F. El-Khatib, Chakib M. Ayoub, Imad BouAkl, Pierre Bou-Khalil, Ghassan E. Kanazi   +4 more
openaire   +3 more sources

Weaning from Mechanical Ventilation

Seminars in Respiratory and Critical Care Medicine, 2014
For many critically ill patients admitted to an intensive care unit, the insertion of an endotracheal tube and the initiation of mechanical ventilation (MV) can be lifesaving procedures. Subsequent patient care often requires intensivists to manage the complex interaction of multiple failing organ systems.
Franco Laghi, Franco Laghi, Hameeda Shaikh, Daniel Morales   +3 more
openaire   +3 more sources

Weaning From Mechanical Ventilation

JAMA: The Journal of the American Medical Association, 1976
PATIENTS who require mechanical ventilation will either be promptly weaned from the ventilator and the endotracheal tube or require more prolonged ventilatory assistance by means of a tracheostomy. Those who recover ventilatory capacity and effective pulmonary oxygen transport rapidly are better able to participate in procedures designed to promote ...
Steven A. Sahn, S. Lakshminarayan, Thomas L. Petty   +2 more
openaire   +3 more sources