conclusions it was found that avoiding routine pivotal expertise, increasing consciousness of the nonphysical aspects of patients while providing treatment and presenting exclusive care, utilizing experienced icu nurses, and placing more emphasis on effective communication with patients in order to honor them as human beings can all enhance the holistic quality of care. results the four main th...

It has been brought to our attention that there was a typographical error in our review article [1] published in February 2000. The last sentence of the abstract should read: " Two randomized studies found that, in difficult-to-wean patients, synchronized intermittent mandatory ventilation (SIMV) is the most ineffective method of weaning. " Reference 1.

Weaning from mechanical ventilation represents the period of transition from total ventilatory support to spontaneous breathing. About 70% of intubated mechanically ventilated patients are extubated on the first spontaneous breathing trial (SBT) attempt, whether by disconnection from the ventilator or after breathing at low levels of pressure support for short periods of time, such as 30 to 120...

introduction chronic obstructive pulmonary disease (copd) is a chronic disorder with many systematic complications and one of the most important reasons for patients to require mechanical ventilation, admission in intensive care unit and prolonged mechanical ventilation. although the first attempt in separation of mechanical ventilation is failed in half of chronic obstructive pulmonary disease...

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...

Background Weaning from mechanical ventilation to spontaneous breathing is associated with changes in the hemodynamic and autonomic nervous systems that are reflected by heart rate variability. Although cardiac dysrhythmias are an important manifestation of hemodynamic alterations, the impact of heart rate variability on the occurrence of dysrhythmias during weaning has not been specifically st...