Automatic tube compensation for liberation from prolonged mechanical ventilation in tracheostomized patients: A retrospective analysis

Wu, Chia-Hao; Lin, Feng-Ching; Jerng, Jih-Shuin; Shin, Moon-Kyung; Wang, Yi-Chia; Lee, C.-J.; Lin, Lih‐Chang; Lin, Nien-Ting; Kuo, Yur-Ren; Ku, Shih-Chi; Wu, Huey-Dong

doi:10.1016/j.jfma.2023.04.020

Cited by 2 publications

(2 citation statements)

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“…Jubran et al studied tracheostomized patients requiring MV and found that a 12 h SBT is useful for differentiating between those patients who require continued MV and those who can be safely liberated [39]. Extended SBT times between 1 and 12 h have been proposed by multiple research groups for tracheostomized patients [40,41]. To help evaluate the readiness for SBTs in prolonged MV, researchers have evaluated the benefit of the rapid shallow breathing index (RSBI), calculated by dividing the respiratory rate (breath/minute) by the average tidal volume ventilation in liters.…”

Section: Spontaneous Breathing Trialsmentioning

confidence: 99%

“…Jubran et al recommended up to 24 h of unassisted breathing trials through a humidified oxygen delivery device connected to the tracheostomy tube (tracheostomy collar, TC) for 5 days [39]. Wu et al used continued ATC trials for 3 days [40]. If a patient passes the SBT but fails at unassisted breathing within 12 h, a daily repeated challenge with unassisted breathing (TC or ATC trials) can be applied until the patient is able to tolerate at least 24 h of TC [39].…”

Section: Modes Of Ventilator Weaning In Prolonged MVmentioning

confidence: 99%

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Ventilator Weaning in Prolonged Mechanical Ventilation—A Narrative Review

Dolinay,

Hsu,

Maller

et al. 2024

JCM

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Patients requiring mechanical ventilation (MV) beyond 21 days, usually referred to as prolonged MV, represent a unique group with significant medical needs and a generally poor prognosis. Research suggests that approximately 10% of all MV patients will need prolonged ventilatory care, and that number will continue to rise. Although we have extensive knowledge of MV in the acute care setting, less is known about care in the post-ICU setting. More than 50% of patients who were deemed unweanable in the ICU will be liberated from MV in the post-acute setting. Prolonged MV also presents a challenge in care for medically complex, elderly, socioeconomically disadvantaged and marginalized individuals, usually at the end of their life. Patients and their families often rely on ventilator weaning facilities and skilled nursing homes for the continuation of care, but home ventilation is becoming more common. The focus of this review is to discuss recent advances in the weaning strategies in prolonged MV, present their outcomes and provide insight into the complexity of care.

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Section: Spontaneous Breathing Trialsmentioning

confidence: 99%