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Intensive Care Medicine

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

Weaning: can the computer help?

  • Franco LaghiEmail author
Editorial

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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