Weaning success among ventilator-dependent patients in a rehabilitation facility

The soaring mechanic ventilator utilization under a universal health insurance in Taiwan

“…One such facility is the regional ventilator weaning center, which has received a lot of research attention for several years in the US, UK, and other countries [3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Many studies have reported that transferring MV-dependent patients from ICUs to regional ventilator weaning centers decreases costs [8,17,18].…”

Mechanical ventilation in the emergency department for 24 hours or longer is associated with delayed weaning

“…We also excluded cases with combined nonrespiratory problems, such as significant brain dysfunction or postcardiac arrest, that could affect the duration of MV despite an adequate level of ventilator care. Furthermore, we conducted a survival analysis of time to ventilator weaning to directly assess the effect of ED MV for 24 hours or longer on the entire duration of MV in contrast to previous studies that have used a simple comparison of duration or a regression analysis according to the presence of predefined ventilator dependence [14][15][16][17]20].…”

“…Underlying severe renal dysfunction, previous lung disease (chronic obstructive pulmonary disease [COPD], interstitial lung disease), cardiac ischemia or left ventricle (LV) dysfunction, hypoalbuminemia, altered mentality (Glasgow coma scale b8), and shock on admission day (systolic blood pressure [SBP] b90 mm Hg or reduction of N40 mm Hg from baseline SBP) have been suggested as causes of prolonged MV in previous studies [14][15][16][17][18][19][20].…”

Prediction and Analysis of Weaning Results of Ventilator-Dependent Patients with an Artificial Neuromolecular System

“…When to remove a ventilator from a patient is sometimes a tough question. Statistics show that the successful weaning rate is between 35% and 60% [16], [17]. The decision is usually based on the subjective assessments of physicians.…”

“…The decision is usually based on the subjective assessments of physicians. The parameters that the physician takes in accounts are physiological factors, including maximal inspiratory pressure (Pimax) [10], [20], vital capacity (VC) [20], rapid shallow breathing index (RSBI) [23], minute ventilation (VE) [10], [21], pH and PCO [2], [16], APACHE II score, and blood urine nitrogen (BUN).…”