Abstract
One of the aims of artificial substitution of ventilation is to recuperate spontaneous ventilation as early as possible and in the most optimal conditions. Withdrawal from artificial ventilation may appear simple, but is sometimes more difficult than maintaining mechanical ventilation (MV) itself according to the different options proposed in the literature [1–3]. The process of withdrawal from ventilation, or taking the decision to begin this process, is empirical in most cases [4].
Keywords
- Chronic Obstructive Pulmonary Disease
- Mechanical Ventilation
- Chronic Obstructive Pulmonary Disease Patient
- Acute Respiratory Failure
- Artificial Ventilation
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Sahn SA, Lakshminarayan S, Petty TL (1976) Weaning from mechanical ventilation. JAMA 235:2208–2212
Skillman J J, Malhotra JV, Palotta JA, Bushnell LS (1971) Determinants of weaning from controlled ventilation. Surgical Forum 22:198–200
Venus B, Smith RA, Mathru M (1987) National surgery of methods and criteria used for weaning from mechanical ventilation. Crit Care Med 15:530–533
Milic-Emili J (1986) Is weaning an art or a science? Am Rev Respir Dis 134:1107–1108
Sahn SA, Lakshminarayan S (1973) Bedside criteria for discontinuation of mechanical ventilation. Chest 63:1002–1005
Hilberman M, Kamm B, Lamy M, et al (1976) An analysis of potential predictors of respiratory adequacy following cardiac surgery. J Thorac Cardiovasc Surg 71:711–720
Tahvanainen J, Salmenpera M, Nikki P (1983) Extubation criteria after weaning from intermittent mandatory ventilation and continuous positive airway pressure. Crit Care Med 11:702–707
Tomlinson JR, Miller KS, Lorch DG, Smith L, Reines HD, Sahn SA (1989) A prospective comparison of IMV and T-piece weaning from mechanical ventilation. Chest 96:348–352
Menzies R, Gibbons W, Goldberg P (1989) Determinants of weaning and survival among patients with COPD who require mechanical ventilation for acute respiratory failure. Chest 95:398–405
Krieger BP, Ersowsky PF, Becker DA, Gazeroglu HB (1989) Evaluation of conventional criteria for predicting successful weaning from mechanical ventilatory support in elderly patients. Crit Care Med 17:858–861
Fernández R, Benito S, Sanchis J, Milic-Emili J, Net A (1988) Inspiratory effort and occlusion pressure in triggered mechanical ventilation. Intensive Care Med 14:650–653
Marini JJ, Copps JS, Culver BH (1985) The inspiratory work of breathing during assisted mechanical ventilation. Chest 87:612–618
Braun NM, Faulkner J, Hughes RL, Roussos C, Sahgal V (1983) When should respiratory muscles be exercised? Chest 84:76–84
Aldrich TK, Karpel JP, Uhrlass RM, Sparapani MA, Erano D, Ferranti R (1989) Weaning from mechanical ventilation: adjuntive use of inspiratory muscle resistive training. Crit Care Med 17:143–147
Bendixen HH, Egbert LD, Hedley-Whyte J, et al (1965) Management of patients undergoing prolonged artificial ventilation. In: C. V. Mosly (ed) Respiratory care. St. Louis, p 149
Safar P, Kunkel HG (1965) Prolonged artificial ventilation. In: Safar P (ed) Respiratory Therapy. Philadelphia FA Davis, p 126
Stetson JB (1970) Introductory essay in prolonged tracheal intubation. Int Anesthesiol Clin 8:774–775
Millbern SM, Downs JB, Jumper LC, et al (1978) Evaluation of criteria for discontinuing mechanical ventilation support. Arch Surg 113:1441–1444
DeHaven GB, Hurst JM, Branson RD (1986) Evaluation of two different extubation criteria: Attributes contributing to success. Crit Care Med 14:92–94
Pontoppidan H, Laver MB, Geffin B (1970) Acute respiratory failure in the surgical patient. In: Welch CE (ed) Advances in surgery. Chicago. Year Book Medical Publishers 4:163–254
Morganroth ML, Morganroth JL, Nett LM, Petty TL (1984) Criteria for weaning from prolonged mechanical ventilation. Arch Intern Med 144:1012–1016
McDonald NJ, Lavelle P, Gallacher WN, Harpin RP (1988) Use of the oxygen cost of breathing as an idex of weaning ability from mechanical ventilation. Intensive Care Med 14:50–54
Shikora SA, Bistrian BR, Borlase BC, Blackburn GL, Stone MD, Benotti PN (1990) Work of breathing: reliable predictor of weaning and extubation. Crit Care Med 18:157–162
Kemper M, Weissman C, Askanazi J, Hyman AI, Kinney JM (1987) Metabolic and respiratory changes during weaning from mechanical ventilation. Chest 92:979–983
Fiastro JF, Habib MP, Shon BY, Campbell SC (1988) Comparison of standard weaning parameters and the mechanical work of breathing in mechanically ventilated patients. Chest 94:232–238
Sassoon CSH, Te TT, Mahutte CK, Light R (1987) Airway occlusion pressure. An important indicator for successful weaning in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 135:107–113
Montgomery BA, Holle RHO, Neagley SR, Pierson DJ, Schoene RB (1987) Prediction of successful ventilator weaning using airway occlusion pressure and hypercapnic challenge. Chest 91:496–499
Murciano D, Boczkowski J, Lecocguic Y, Milic-Emili J, Pariente R, Aubier M (1988) Tracheal occlusion pressure: a simple index to monitor respiratory failure in patients with chronic obstructive pulmonary disease. Ann Intern Med 108:800–805
Fernández R, Cabrera J, Calaf N, Benito S (1990) PO.1/PImax: an index assessing respiratory capacity in acute respiratory failure. Intensive Care Med 16:175–179
Tobin MJ, Pérez W, Guenther SM, et al (1986) The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis 134:1111–1118
Brochard L, Rauss A, Benito S, et al (1990) Comparaison de trois modalités de sevrage de la ventilation artificielle. Résultats d’un essai multicentrique européen. Réan Soins Intens Méd Urg 6:517
Prakash O, Meij S, Van Der Borden B (1982) Spontaneous ventilation test vs intermittent mandatory ventilation. Chest 81:403–406
Coppolo DP, May JJ (1990) Self-extubation. Chest 98:165–169
Pierson DJ (1983) Weaning from mechanical ventilation in acute respiratory failure: concepts, indications, and techniques. Respir Care 28:646–662
Hall JB, Wood LDH (1987) Liberation of the patient from mechanical ventilation. JAMA 257:1621–1628
Morganroth ML, Grum CM (1988) Weaning from mechanical ventilation. J Intensive Care Med 3:109–120
Schuster DP (1990) A physiologic approach to initiating, maintaining and withdrawing mechanical ventilatory support during acute respiratory failure. Am J Med 88:268–278
Marini J J (1986) The physiologic determinants of ventilator dependence. Respir Care 31:271- 282
Boysen PG (1987) Respiratory muscle function and weaning from mechanical ventilation. Respir Care 32:572–583
Maclntyre NR (1986) Respiratory function during pressure support ventilation. Chest 89:677- 683
Brochard L, Pluskwa F, Lemaire F (1987) Improved efficacy of spontaneous breathing with inspiratory pressure supprt. Am Rev Respir Dis 136:411–415
Brochard L, Harf A, Lorino H, Lemaire F (1989) Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis 139:513–521
De Troyer A, Estenne M, Yernault JC (1980) Disturbance of respiratory muscle function in patients with mitral valve disease. Am J Med 69:867–873
Hammond MD, Bauer KA, Sharp JT, Rocha RD (1990) Respiratory muscle strength in congestive heart failure. Chest 98:1091–1094
Marini JJ, Smith TC, Lamb VJ (1988) External work output and force generation during synchronized intermittent mechanical ventilation. Am Rev Respir Dis 138:1169–1179
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Benito, S., Vallverdu, I., Mancebo, J. (1991). Which Patients Need a Weaning Technique. 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_24
Download citation
DOI: https://doi.org/10.1007/978-3-642-84554-3_24
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-84556-7
Online ISBN: 978-3-642-84554-3
eBook Packages: Springer Book Archive