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Weaning Assessment

  • Conference paper
Ventilatory Failure

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 15))

Abstract

Although mechanical ventilation (MV) can be lifesaving, it is associated with numerous complications, and thus, it should be discontinued as soon as possible. However, determination of the optimal time to discontinue ventilator support can be very difficult. While an experienced physician can frequently judge the likely outcome of a weaning trial, it is desirable to have objective measurements that decrease the dependence on the wisdom and skill of a physician [1–3]. By identifying patients who are likely to fail a weaning trial, such indices can prevent a premature weaning attempt and the development of severe cardiorespiratory and/or psychological decompensation. On the other hand, by identifying the earliest time that a patient is able to resume and sustain spontaneous ventilation, indices help to avoid unnecessary prolongation of the period of ventilator support. Finally, since these indices assess many different physiological functions, they may provide insight into the reasons for ventilator dependency in an individual patient and suggest alterations in management.

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Authors
  1. M. J. Tobin
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Editor information

Editors and Affiliations

  1. St. Paul-Ramsey Medical Center, 640 Jackson Street, St. Paul, MN, 55101-2595, USA

    J. J. Marini

  2. Department of Critical Care, Evangelismos Hospital, 45, Ipsilandou Street, Athens, 11521, Greece

    C. Roussos

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© 1991 Springer-Verlag Berlin Heidelberg

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Tobin, M.J. (1991). Weaning Assessment. In: Marini, J.J., Roussos, C. (eds) Ventilatory Failure. Update in Intensive Care and Emergency Medicine, vol 15. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84554-3_20

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  • DOI: https://doi.org/10.1007/978-3-642-84554-3_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84556-7

  • Online ISBN: 978-3-642-84554-3

  • eBook Packages: Springer Book Archive

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