Transcription of Evidence-Based Ventilator Weaning and …
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Evidence-Based Ventilator Weaning and …
Evidence-Based Ventilator Weaning and DiscontinuationNeil R MacIntyre MD FAARCI ntroductionAssessing Ventilator -Discontinuation PotentialExtubationManaging the Patient Who Fails SBTP rotocols Implemented by Nonphysician CliniciansThe Role of Long-Term FacilitiesSummaryVentilator management of a patient who is recovering from acute respiratory failure must balancecompeting objectives. Discontinuing mechanical ventilation and removing the artificial airway as soonas possible reduces the risk of Ventilator -induced lung injury, nosocomial pneumonia, airway traumafrom the endotracheal tube, and unnecessary sedation, but premature Ventilator -discontinuation orextubation can cause ventilatory muscle fatigue, gas exchange failure, and loss of airway protection.
that as much as 42% of the time a medical patient spends on a mechanical ventilator is during the withdrawal pro-cess1 and that percentage is likely to be much higher with a patient who has a more slowly resolving lung process.
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