Ventilation, summaries of key papers from the ventilation literature: NIV; ARDS; Tracheostomy; Weaning
Difficulty weaning is an important ICU challenge. 20% to 30% of patients are difficult to wean from invasive mechanical ventilation
Non-invasive ventilation can be used as adjunct for weaning patients from mechanical ventilation
Numerous objective indices have been studied to predict failure of ventilator liberation or weaning. None of these indexes alone are sufficiently sensitive and specific to be useful in predicting the success of ventilation discontinuation in an individual patient.
Spontaneous breathing trials (SBT) are used to identify patients who are likely to fail liberation from mechanical ventilation
Ventilator management should be aimed at getting the patient off ventilator support as rapidly as possible. Weaning can be considered once the underlying process necessitating mechanical ventilation is resolving
Weaning from ventilation = Multi-factorial and list headings of causes -> clinical signs associated with list: Hot Case