Weaning from mechanical ventilation: why are we still looking for alternative methods?

Abstract:

:Most patients who require mechanical ventilation for longer than 24 hours, and who improve the condition leading to the indication of ventilatory support, can be weaned after passing a first spontaneous breathing test. The challenge is to improve the weaning of patients who fail that first test. We have methods that can be referred to as traditional, such as the T-tube, pressure support or synchronized intermittent mandatory ventilation (SIMV). In recent years, however, new applications of usual techniques as noninvasive ventilation, new ventilation methods such as automatic tube compensation (ATC), mandatory minute ventilation (MMV), adaptive support ventilation or automatic weaning systems based on pressure support have been described. Their possible role in weaning from mechanical ventilation among patients with difficult or prolonged weaning remains to be established.

journal_name

Med Intensiva

journal_title

Medicina intensiva

authors

Frutos-Vivar F,Esteban A

doi

10.1016/j.medin.2012.08.008

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

605-17

issue

9

eissn

0210-5691

issn

1578-6749

pii

S0210-5691(12)00246-X

journal_volume

37

pub_type

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