Decrease in Ventilation Time With a Standardized Weaning Process
نویسندگان
چکیده
منابع مشابه
Decrease in ventilation time with a standardized weaning process.
OBJECTIVE To test the hypothesis that standardizing the process of weaning from mechanical ventilation would decrease ventilation times and length of stay in a surgical intensive care unit. DESIGN Comparison of historic ventilation times with physician-directed weaning with those obtained with protocol-guided weaning by respiratory therapists. SETTING Urban, teaching surgical intensive care...
متن کاملWeaning from mechanical ventilation
D iscontinuation of ventilation is estimated to take up to 40% of the total duration of ventilatory support, and around 3–6% of patients admitted to the intensive care unit (ICU) require a prolonged course of mechanical ventilation (MV). Patients being liberated from ventilatory support therefore occupy a significantnumber of ICUbeds andhave a major impact on healthcare resources. There have be...
متن کاملWeaning from mechanical ventilation.
Approximately 20% of all mechanically ventilated patients fail their first attempt to wean. Prolonged mechanical ventilation increases morbidity, mortality, and costs. No single weaning parameter predicts patient ability to wean. Weaning studies suggest that daily trials of spontaneous breathing for appropriate patients assured by standing protocol and driven by respiratory care practitioners a...
متن کاملWeaning from mechanical ventilation
Practice guidelines on weaning should be based on the results of several well-designed randomized studies performed over the last decade. One of those studies demonstrated that immediate extubation after successful trials of spontaneous breathing expedites weaning and reduces the duration of mechanical ventilation as compared with a more gradual discontinuation of ventilatory support. Two other...
متن کاملWeaning From Mechanical Ventilation
• To review the frequency of weaning failure • To discuss the logic of weaning, ie, questions to ask when approaching the ventilated patient • To assess available predictors of weaning success and failure • To describe the techniques of weaning and the evidence supporting their use • To understand special considerations in weaning, eg, auto-positive end-expiratory pressure, imposed work of brea...
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ژورنال
عنوان ژورنال: Archives of Surgery
سال: 1998
ISSN: 0004-0010
DOI: 10.1001/archsurg.133.5.483