Long-Term Mechanical Ventilation: Management Strategies

Long-term mechanical ventilation: management strategies.

This paper reviews management strategies for patients undergoing prolonged mechanical ventilation (PMV). Topics covered include how to identify and correct barriers to weaning, the systematic approach to weaning trials, when to cease weaning trials and proceed with life-long support, managing the tracheostomy tube during PMV, and, finally, how to select a suitable mechanical ventilator for PMV.

Caregiving and long-term mechanical ventilation.

biofeedback as a method for assessing baroreflex function: a preliminary study of resonance in the cardiovascular system. Appl Psychophysiol Biofeedback 2002; 27:1–27 3 Yasuma F, Hayano J. Augmentation of respiratory sinus arrhythmia in response to progressive hypercapnia in conscious dogs. Am J Physiol Heart Circ Physiol 2001; 280: H2336–H2341 4 Yasuma F, Hayano J. Impact of acute hypoxia on h...

Long-term home mechanical ventilation in the United States.

Patients requiring prolonged mechanical ventilation are rapidly increasing in number. Improved ICU care has resulted in many patients surviving acute respiratory failure to require prolonged mechanical ventilation during convalescence. Also, mechanical ventilation is increasingly used as a therapeutic option for patients with symptomatic chronic hypoventilation, with an increased effort to pre...

Long-term nasal ventilation.

Mechanical ventilation strategies in massive chest trauma.

Patients in extremis because of trauma-related massive chest injury require expedient evaluation and prompt intervention. The initial pathophysiology relates to the significant intrapulmonary shunting caused by disruption of pulmonary capillaries and extravasation into the alveolar spaces. Disproportionate or unilateral lung involvement needs measures more technical than general supportive care...