Search Tag: weaning

ICU Management

Safe Liberation During Weaning from VV-ECMO

2021 28 Jun

The use of venovenous extracorporeal membrane oxygenation (VV-ECMO) in patients with severe acute respiratory distress syndrome (ARDS) has increased substantially over the last few years. However, conclusive evidence supporting its use is still lacking, and mortality of patients treated with VV-ECMO for ARDS is still high.   Optimal strategies of... Read more

ICU Management

Diaphragm and lung ultrasound for weaning prediction

2017 14 Sep

Deciding the optimal timing for extubation in mechanically ventilated patients can be challenging, and traditional weaning predictor tools are not very accurate. A new systematic review indicates that diaphragm ultrasound can help predict weaning outcome, although its accuracy may vary depending on the patient subpopulation. The findings will be published... Read more

ICU Management

Failure to Wean a Quality Chasm

2016 30 Sep

Writing in the Journal of Critical Care , Constantine Manthous argues that failure to awaken and wean patients on mechanical ventilation is poor practice. He suggests practical solutions to close the gap.   Manthous notes that the evidence is that mechanical ventilation can be reduced substantially in duration, thereby reducing morbidity and mortality.... Read more