Search Tag: weaning
2024 26 Nov
Failure to wean from mechanical ventilation is common, affecting up to 35% of critically ill patients undergoing the weaning process and significantly worsening outcomes, including prolonged ICU stays, longer hospitalisations, and higher mortality risk. Respiratory muscle weakness, present in over 60% of mechanically ventilated patients, is a major...Read more
2023 13 Oct
In this article, we will examine clinical concepts that have persisted over time, despite advancements in our understanding of physiology and technological innovations that have demonstrated their inapplicability in the routine clinical care of paediatric patients requiring respiratory support. These enduring beliefs have effectively transformed...Read more
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
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
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