INTRODUCTION Optimal management of mechanical ventilation and weaning requires dynamic and collaborative decision making to minimize complications and avoid delays in the transition to extubation. In the absence of collaboration, ventilation decision making may be fragmented, inconsistent, and delayed. Our objective was to describe the professional group with responsibility for key ventilation ...

Background: Weaning from mechanical ventilation in the intensive care unit is an important step in the treatment process. More patients in less than 6 hours after cardiac surgery can be separated from mechanical ventilation and extubated. However, 20-40% of patients after cardiac surgery, due to dysfunctional ventilator weaning response (DVWR), still remain under mechanical ventilation. Therefo...

In a group of postoperative patients, Taniguchi and coworkers compared the effect of a computerized system for weaning against 'manual care'. The computerized system involved automatic adjustments to the level of pressure support to achieve a target respiratory rate. Manual care involved adjustments to the level of pressure support to keep the ratio of respiratory frequency to tidal volume belo...

BACKGROUND Adaptive support ventilation (ASV) is a closed loop mode of mechanical ventilation (MV) that provides a target minute ventilation by automatically adapting inspiratory pressure and respiratory rate with the minimum work of breathing on the part of the patient. The aim of this study was to determine the effect of ASV on total MV duration when compared with pressure assist/control vent...

Aim The objective of this study is to examine the correlation between patient serum cholinesterase (SCHE) concentration and weaning failure in context invasive mechanical ventilation (IMV), as well identify predictors ventilator failure. Additionally, investigates potential relationship SCHE nutritional risk for developing more effective strategies. Method A retrospective observational was cond...

OBJECTIVES To determine risk factors associated with ventilator dependence in patients with ventilator-associated pneumonia (VAP). STUDY DESIGN A retrospective study was conducted at Chang Gung Memorial Hospital, Kaohsiung, from January 1, 2007 to January 31, 2008. METHODS This study evaluated 163 adult patients (aged ≥ 18 years). Eligibility was evaluated according to the criterion for VAP...

Complications of mechanical ventilation increase with duration. Delayed weaning and premature weaning are both associated with increasing complications. In addition, adverse events and deterioration relating to the ventilator system could happen any time. Therefore, accurate monitoring of the patient’s respiratory condition and adjustment of ventilator settings are essential during mechanical v...

STUDY OBJECTIVES This multicenter study was undertaken to characterize the population of ventilator-dependent patients admitted to long-term care hospitals (LTCHs) with weaning programs, and to report treatments, complications, weaning outcome, discharge disposition, and survival in these patients. DESIGN Observational study with concurrent data collection. SETTING Twenty-three LTCHs in the...