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Weaning from Prolonged Mechanical Ventilation

Weaning from Prolonged Mechanical Ventilation is a topic covered in the Pocket ICU Management.

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Anesthesia Central

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First Things First (assess & treat for the following)

  • Prolonged mechanical ventilation (PMV) is typically defined as >21 days of ventilator dependence.
  • Presumes that standard efforts at ventilator liberation have been consistently applied and unsuccessful
    • Therapist-driven protocols
    • Daily assessment to determine if patient is able to resume spontaneous ventilation
    • Spontaneous breathing trial with assessment of clinical response followed by extubation
  • In the absence of clearly irreversible disease, no patient should be considered permanently ventilator-dependent.

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Last updated: May 17, 2010

Citation

"Weaning From Prolonged Mechanical Ventilation." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534034/all/Weaning_from_Prolonged_Mechanical_Ventilation.
Weaning from Prolonged Mechanical Ventilation. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534034/all/Weaning_from_Prolonged_Mechanical_Ventilation. Accessed April 26, 2019.
Weaning from Prolonged Mechanical Ventilation. (2010). In Pocket ICU Management. Available from https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534034/all/Weaning_from_Prolonged_Mechanical_Ventilation
Weaning From Prolonged Mechanical Ventilation [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2019 April 26]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534034/all/Weaning_from_Prolonged_Mechanical_Ventilation.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Weaning from Prolonged Mechanical Ventilation ID - 534034 Y1 - 2010/05/17/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534034/all/Weaning_from_Prolonged_Mechanical_Ventilation PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -