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Weaning from the Ventilator

  • Hooman Poor

Abstract

While mechanical ventilation may be necessary to support ventilation and gas exchange, prolonged time on the ventilator is associated with significant complications, including lung injury, infections, and neuromuscular weakness. Therefore, in patients deemed to no longer require ventilatory support, it is important to discontinue mechanical ventilation as soon as possible. However, prematurely discontinuing mechanical ventilation may necessitate reintubation, a procedure that is associated with increased risk of adverse outcomes. The weaning process begins with an assessment of readiness to wean, followed by a diagnostic test, known as the spontaneous breathing trial, to determine the likelihood of successful extubation.

Keywords

Spontaneous breathing trial (SBT) T-piece Rapid shallow breathing Cuff leak test 

Suggested Readings

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    Boles J, Bion J, Connors A, et al. Weaning from mechanical ventilation. Eur Respir J. 2007;29:1033–56.CrossRefPubMedGoogle Scholar
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    Cairo J. Pilbeam’s mechanical ventilation: physiological and clinical applications. 5th ed. St. Louis: Mosby; 2012.Google Scholar
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    MacIntyre N, Branson R. Mechanical ventilation. 2nd ed. Philadelphia: Saunders; 2009.Google Scholar
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    Tobin M. Principles and practice of mechanical ventilation. 3rd ed. Beijing: McGraw-Hill; 2013.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Hooman Poor
    • 1
  1. 1.Mount Sinai – National Jewish Health Respiratory InstituteIcahn School of MedicineNew YorkUSA

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