The pulmonary physician in critical care. 10: difficult weaning.
نویسنده
چکیده
The study of patients being weaned from mechanical ventilation has offered new insights into the physiology of respiratory failure. Assessment of the balance between respiratory muscle strength, work and central drive is essential if difficulty in weaning occurs, and optimisation of these elements may improve the success of weaning. Psychological support of patients and the creation of units specialising in weaning have also resulted in a higher success rate.
منابع مشابه
The pulmonary physician in critical care c 10: Difficult weaning
The study of patients being weaned from mechanical ventilation has offered new insights into the physiology of respiratory failure. Assessment of the balance between respiratory muscle strength, work and central drive is essential if difficulty in weaning occurs, and optimisation of these elements may improve the success of weaning. Psychological support of patients and the creation of units sp...
متن کاملThe effect of a mechanical ventilation discontinuation protocol in patients with simple and difficult weaning: impact on clinical outcomes.
OBJECTIVE We sought to determine whether the utilization of a respiratory therapist (RT) driven mechanical ventilation weaning protocol is associated with improvement in clinical outcomes in subjects with simple versus difficult weaning. METHODS This was a retrospective analysis of prospectively collected data obtained during a quality improvement project. We collected data on 803 consecutive...
متن کاملOutcomes of care managed by an acute care nurse practitioner/attending physician team in a subacute medical intensive care unit.
BACKGROUND Many academic medical centers employ nurse practitioners as substitutes to provide care normally supplied by house staff. OBJECTIVE To compare outcomes in a subacute medical intensive care unit of patients managed by a team consisting of either an acute care nurse practitioner and an attending physician or an attending physician and critical care/pulmonary fellows. METHODS During...
متن کاملHelping to clarify mechanical ventilation protocols.
When to discontinue mechanical ventilation is a large part of the work we do in the ICU every day. For patients, a large part of the time spent on mechanical ventilation is in the weaning process. Typically, the decision to start weaning is primarily physician-dependent, and, much to the chagrin of many physicians, studies have revealed that a well designed protocol is better for our patients a...
متن کاملA randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation.
OBJECTIVE To compare a practice of protocol-directed weaning from mechanical ventilation implemented by nurses and respiratory therapists with traditional physician-directed weaning. DESIGN Randomized, controlled trial. SETTING Medical and surgical intensive care units in two university-affiliated teaching hospitals. PATIENTS Patients requiring mechanical ventilation (n = 357). INTERVEN...
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عنوان ژورنال:
- Thorax
دوره 57 11 شماره
صفحات -
تاریخ انتشار 2002