Intensive Care Medicine

, Volume 34, Issue 10, pp 1746–1748 | Cite as

Weaning: can the computer help?

  • Franco LaghiEmail author

After overcoming the perils of critical illness, patients should be weaned from mechanical ventilation as quickly as possible. Failure to do so exposes them to excess morbidity [1]. Often the greatest obstacle to expeditious ventilator discontinuation is the clinician’s failure to contemplate the possibility that the patient may be ready to successfully breathe on his or her own [2]. In an attempt to avert delays, Dojat and Brochard and their group have developed a closed-loop computer-driven ventilator support system [3]. After more than 15 years of research [3, 4, 5], these investigators reported in a multicenter European study that computer-driven weaning reduced duration of mechanical ventilation and ICU length of stay [6].

In the current issue of Intensive Care Medicine, Rose and co-workers [7] were unable to confirm the superiority of the computer-driven weaning system. In this single-center Australian study [7], duration of weaning and also duration of mechanical ventilation...


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Edward Hines Jr. VA Hospital and Loyola University Medical Center, Pulmonary and Critical Care MedicineHinesUSA

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