Abstract
During the past 25 years, there has been a significant increase in the number of patients that receive mechanical ventilation as a means of life support during surgery or life-threatening medical illness. Although mechanical ventilation has clear-cut benefits, it is also associated with a significant number of complications, such as decreased cardiac output, increased intracranial pressure, ventilator-associated pneumonia (VAP), and ventilator-induced lung injury (VILI). In addition, mechanical ventilation is expensive and hinders efficient patient movement through the intensive care unit.
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Bolton CE Muscle weakness and difficulty in weaning from the ventilator in the critical care unit. Chest 1994; 106: 1–2.
Brochard L, Pluskwa F, Lemaire E Improved efficacy of spontaneous breathing with inspiratory pressure support. Am Rev Respir Dis 1989; 139: 411–415.
Bronchard L, Rauss A, Benito S, et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994; 150: 739–745.
Ely EW, Baker AM, Dunagan DP. Effect of duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Eng J Med 1996; 335: 1864–1869.
Epstein SK. Etiology of extubation failure and the predictive value of the rapid shallow breathing index. Am J Respir Crit Care Med 1995; 152: 545–549.
Esteban A, Alia I, Gordo E Weaning: What the recent studies have shown us. Clinical Pulmonary Medicine 1996; 3: 91–100.
Estaban A, Frutos F, Tobin M, et al. A comparison of four methods of weaning patients from mechanical ventilation. N Eng J Med 1995; 332: 345–350.
Fiastro JF, Habib MP, Shon BY, et al. Comparison of standard weaning parameters and the mechanical work of breathing in mechanically ventilated patients. Chest 1988; 94: 232–238.
Fisher MM, Raper RF. The “cuff leak” test for extubation. Anaesthesia 1992; 47: 10–12.
Herrera M, Blasco J, Vanegas J. Mouth occlusion pressure (P0.1) in acute respiratory failure. Intensive Care Med 1985; 11: 134–39.
Jabour ER, Rabil DM, Truwitt JD, et al. Evaluation of a new weaning index based on ventilatory endurance and the efficiency of gas exchange. Am Rev Respir Dis 1991; 144: 531–537.
Larminat V, Montravers P, Dureil B, et al. Alteration in swallowing reflex after extubation in intensive care unit patients. Crit Care Med 1995; 23: 486–489.
Lemaire F, Teboul JL, Cinsotti L, et al. Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 1988; 69: 171–179.
Lessard MR, Brochard L. Weaning from ventilatory support. Clin Chest Med 1996; 17 (3): 475–490.
Salm SA, Lakshminarayan S. Bedside criteria for discontinuation of mechanical ventilation. Chest 1973; 63: 1002–1005.
Sassoon CS, Mahutte C. Airway occlusion pressure and breathing pattern as predictors of weaning outcome. Am Rev Respir Dis 1993; 148: 860–866.
Tahvaninen J, Salenpera M, Nikki P. Extubation criteria after weaning from intermittent mandatory ventilation and continuous positive airway pressure. Crit Care Med 1983; 11: 702–707.
Tobin MJ, Perez W, Buenther SW, et al. Pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis 1986; 134: 1111–1118.
Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 1991; 324 (21): 1445–1450.
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© 2002 Springer Science+Business Media New York
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Martin, U.J., Criner, G.J. (2002). Weaning from Mechanical Ventilation. In: Criner, G.J., D’Alonzo, G.E. (eds) Critical Care Study Guide. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3927-5_36
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DOI: https://doi.org/10.1007/978-1-4757-3927-5_36
Publisher Name: Springer, New York, NY
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Online ISBN: 978-1-4757-3927-5
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