Abstract
Weaning or liberation from mechanical ventilation in patients with respiratory failure begins when the precipitating cause is partially or totally reversed. The aim of this process is to induce spontaneous breathing and, ultimately, extubation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ely EW, Baker AM, Evans GW, Haponik EF (1999) The prognostic significance of passing a daily screen of weaning parameters. Intensive Care Med 25: 581–587
Mancebo J (1996) Weaning from mechanical ventilation. Eur Respir J 9: 1923–1931
Kress JP, Pohlman AS, O’Connor MF, Hall JB (2000) Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 342: 14711477
Vallverdu I, Calaf N, Subirana M, Net A, Benito S, Mancebo J (1998) Clinical characteristics, respiratory functional parameters, and outcome of a two-hour T-piece trial in patients weaning from mechanical ventilation. Am J Respir Crit Care Med 158: 1855–1862
Ely EW, Baker AM, Dunagan DP, et al (1996) Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 335: 18641869
Jubran A (2002) Weaning induced cardiac failure. In: Mancebo J, Net A, Brochard L (eds) Mechanical Ventilation and Weaning. Springer, Heidelberg, pp 184–192
Derenne P, Fleury B, Pariente R (1988) Acute respiratory failure of chronic obstructive pulmonary disease. Am Rev Respir Dis 138: 1006–1033
Tuxen DV (1994) Permissive hypercapnic ventilation. Am J Respir Crit Care Med 150: 870874
Decramer M (1997) Hyperinflation and respiratory muscle interaction. Eur Respir J 10: 934–941
Lessard MR, Lofaso F, Brochard L (1995) Expiratory muscle activity increases intrinsic positive end-expiratory pressure independently of dynamic hyperinflation in mechanically ventilated patients. Am J Respir Crit Care Med 151: 562–569
Rossi A, Polese G, Brandi G, Conti G (1995) Intrinsic positive end-expiratory pressure ( PEEPi ). Intensive Care Med 21: 522–536
Petrof BJ, Legare M, Goldberg P, Milic-Emili J, Gottfried SB (1990) Continuos positive airway pressure reduced work of breathing and dyspnea during from mechanical ventilation in severe chronic obstructive pulmonary disease. Am Rev Respir Dis 141: 281–289
Jubran A, Tobin MJ (1997) Pathophysiologic basis of acute respiratory distress in patients who fail a trial of weaning from mechanical ventilation. Am J Respir Crit Care Med 155: 906–915
De Troyer A (1997) Effect of hyperinflation on the diaphragm. Eur Respir J 10: 708–713
Ranieri VM, Giuliani R, Cinnella G, et al (1993) Physiologic effects of positive end-expiratory pressure in patients with chronic obstructive pulmonary disease during acute ventilatory failure and controlled mechanical ventilation. Am Rev Respir Dis 147: 5–13
Broseghini C, Brandolese R, Poggi R, et al (1988) Respiratory mechanics during the first day of mechanical ventilation in patients with pulmonary edema and chronic airway obstruction. Am Rev Respir Dis 138: 355–361
Smith TC, Marini JJ (1988) Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction. J Appl Physiol 65: 1488–1499
Mancebo J, Albaladejo P, Touchard D, et al (2000) Airway occlusion pressure to titrate positive end-expiratory pressure in patients with dynamic hyperinflation. Anesthesiology 93: 81–90
Ranieri VM, Dambrosio M, Brienza N (1996) Intrinsic PEEP and cardiopulmonary interaction in patients with COPD and acute ventilatory failure. Eur Respir J 9: 1283–1292
Pinsky MR (2000) Breathing as exercise: the cardiovascular response to weaning from mechanical ventilation. Intensive Care Med 26: 1164–1166
Miró M, Pinsky MR (1994) Heart-lung interactions. In: Tobin MJ (ed) Principles and Practice of Mechanical Ventilation. McGraw-Hill, New York, pp 647–671
Jones NL, Killian KJ (2000) Exercise limitation in health and disease. N Engl J Med 343: 632–641
O’Donnell DE, Revill SM, Webb KA (2001) Dynamic hyperinflation and exercise intolerance in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 164: 770–777
Lemaire F, Teboul JL, Cinotti L, et al (1988) Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 69: 171–179
Gandhi SK, Powers JC, Nomeir AM, et al (2001) The pathogenesis of acute pulmonary edema associated with hypertension. N Engl J Med 344: 17–22
Poppas A, Rounds S (2002) Congestive heart failure. Am J Respir Crit Care Med 165: 4–8
Jubran A, Mathru M, Dries D, et al (1998) Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof. Am J Respir Crit Care Med 158: 1763–1769
Scharf SM, Iqbal M, Keller C, et al (2002) Hemodynamic characterization of patients with severe emphysema. Am J Respir Crit Care Med 166: 314–322
Richard C, Teboul JL, Archambaud F, et al (1994) Left ventricular function during weaning of patients with chronic obstructive pulmonary disease. Intensive Care Med 20: 181–186
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Cabello, B., Mancebo, J. (2003). Withdrawal from Mechanical Ventilation in Patients with COPD: The Issue of Congestive Heart Failure. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-5548-0_29
Download citation
DOI: https://doi.org/10.1007/978-1-4757-5548-0_29
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-5550-3
Online ISBN: 978-1-4757-5548-0
eBook Packages: Springer Book Archive