A Comparison of Four Methods of Weaning Patients from Mechanical Ventilation

Abstract

A once-daily trial of spontaneous breathing led to extubation about three times more quickly than intermittent mandatory ventilation and about twice as quickly as pressure-support ventilation. Multiple daily trials of spontaneous breathing were equally successful.

Noninvasive ventilation for weaning in hypoxemic respiratory failure: not ready for prime time

“…These choices could have prolonged the duration of weaning in the control group for two reasons. First, PS wean can lengthen the weaning period compared to T tube trials [11]. Second, the study was not blinded: investigators were responsible for titration of PS and for starting PS wean as well.…”

Efeitos da aplicação de protocolo de desmame de ventilação mecânica em Unidade Coronária: estudo randomizado

“…The daily assessment of the weaning parameters held in the experimental group has been described in the literature as one of the factors responsible for good performance observed using the protocol of SBT [4, 13,[16][17][18]31].…”

“…In these studies, the non-use of protocol has made the time of extubation become inaccurate, resulting in early extubation and unnecessary prolongation of the duration of the weaning process [5,6,13,[16][17][18][19][20][21][22][23][24][25][26][27].…”

Augmentierte Spontanatmung im Entwöhnungsprozess

“…Aus den großen Studien Mitte der 1990er Jahre wissen wir, dass ein respiratorunterstützter Weaning-Modus, näm-lich der "Synchronized-intermittentmandatory-ventilation"(SIMV)-Modus, einem simplen T-Stück-Versuch oder der einfachen Druckunterstützung ("pressure support ventilation", PSV) bezüglich der erfolgreichen Entwöhnung unterlegen war [5]. Gilt T-Stück oder PSV "is the best" auch heute noch?…”