Search Tag: weaning

ICU Management

Seven-myths-of-mechanical-ventilation-in-paediatric-and-neonatal-patients

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

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