Weaning from Prolonged Mechanical Ventilation
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 January 30, 2025.
Weaning from Prolonged Mechanical Ventilation. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. 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 2025 January 30]. 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
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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
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DP - Unbound Medicine
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