The long-term outcomes of mechanical ventilation: what are they and how should they be used?

Abstract:

:In the critical care setting, usually the most important outcome is survival. However, this is not the only important outcome of critical care. There are increasing data that the patient's quality of life and functional status can be affected long after an intensive care unit stay, and some data suggest that mechanical ventilation strategies could influence those outcomes. Critical care clinicians' decisions regarding mechanical ventilation and related treatments such as level of sedation might have more profound and far-reaching residual effects than has been previously recognized. To deliver effective, cost-effective, and patient-centered care, critical-care clinicians must consider outcomes other than survival. These outcomes include such diverse concepts as quality of life, functional status, and neuropsychological function. This review addresses theoretical and practical challenges to measuring and interpreting those other outcomes.

journal_name

Respir Care

journal_title

Respiratory care

authors

Curtis JR

keywords:

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

496-505; discussion 505-7

issue

4

eissn

0020-1324

issn

1943-3654

journal_volume

47

pub_type

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