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Extubation Failure: Can It Be Prevented or Predicted?

  • Conference paper
Mechanical Ventilation and Weaning

Part of the book series: Update in Intensive Care Medicine ((UICMSOFT,volume 36))

  • 314 Accesses

Abstract

For the past 30 years extensive research has focused on determining readiness for weaning from mechanical ventilation (liberation) and on the mode of ventilator support that best accelerates the process of progressive withdrawal for those who prove difficult to liberate (Brochard et al. 1994; Ely et al. 1996; Esteban et al. 1995, 1997; Kollef et al. 1997). Once a patient no longer requires ventilatory support, the clinician must address a separate and distinct question. Can the patient tolerate extubation or the removal of the translaryngeal endotracheal tube? Over the past decade, the process and outcome of extubation have received increasing attention. One limiting factor is that many investigators have combined liberation and extubation failure into a single entity. In contrast, recent work clearly indicates that these are distinct processes with discrete pathophysiological causes and unique outcomes.

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Authors
  1. S. K. Epstein
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Editors and Affiliations

  1. Servei de Medicina Intensiva, Hospital de la Sante Creu i Sant Pau, Av. S.A. Maria Claret 167, 08025, Barcelona, Spain

    Jordi Mancebo MD (Associate Professor of Medicine) & Alvar Net MD (Professor of Medicine) (Associate Professor of Medicine) &  (Professor of Medicine)

  2. Service Réanimation Médicale, Hôpital Henri Mondor, 51, Av. Du Mal de Lattre de Tassigny, F-94010, Créteil cedex, France

    Laurent Brochard MD (Professor of Medicine) (Professor of Medicine)

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© 2003 Springer-Verlag Berlin Heidelberg

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Epstein, S.K. (2003). Extubation Failure: Can It Be Prevented or Predicted?. In: Mancebo, J., Net, A., Brochard, L. (eds) Mechanical Ventilation and Weaning. Update in Intensive Care Medicine, vol 36. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56112-2_23

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  • DOI: https://doi.org/10.1007/978-3-642-56112-2_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-44181-6

  • Online ISBN: 978-3-642-56112-2

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