Respiratory care clinics of North America
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Over the last decade, investigators have increasingly focused on the process of translaryngeal extubation. Depending on the patient population studied, the frequency of extubation failure varies from 2% to 20%. ⋯ Commonly used weaning predictors are much less accurate in foretelling extubation outcome. Rapid reinstitution of either invasive or noninvasive ventilatory support has the potential to improve the outcome of extubation failure.
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Outcomes of critically ill patients are affected by the severity of the acute illnesses and by complications that may result from treatments. This article reviews the major complications associated with mechanical ventilation. Special emphasis is placed on recent advances in the understanding of ventilator-induced lung injury and strategies to avoid this life-threatening complication. In this update, the incidence, diagnosis, prevention, and management of complications associated with mechanical ventilation are discussed for each major organ system.
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Respir Care Clin N Am · Jun 2000
ReviewThe utility of weaning protocols to expedite liberation from mechanical ventilation.
Over the past decade, a number of studies have examined methods of hastening liberation of patients from mechanical ventilation. This article outlines weaning protocols that have been proven superior to weaning performed by board-certified intensivists. The author also presents techniques to faciliate the implementation of weaning protocols based on the published experience of one hospital.