collection
MENU ▼
Read by QxMD icon Read
search

The difficult to wean ABC approach

shared collection
2 papers 100 to 500 followers
By Jason Mann No BS pulmonary critical care fellow
https://www.readbyqxmd.com/read/23340588/effect-of-pressure-support-vs-unassisted-breathing-through-a-tracheostomy-collar-on-weaning-duration-in-patients-requiring-prolonged-mechanical-ventilation-a-randomized-trial
#1
RANDOMIZED CONTROLLED TRIAL
Amal Jubran, Brydon J B Grant, Lisa A Duffner, Eileen G Collins, Dorothy M Lanuza, Leslie A Hoffman, Martin J Tobin
IMPORTANCE: Patients requiring prolonged mechanical ventilation (>21 days) are commonly weaned at long-term acute care hospitals (LTACHs). The most effective method of weaning such patients has not been investigated. OBJECTIVE: To compare weaning duration with pressure support vs unassisted breathing through a tracheostomy collar in patients transferred to an LTACH for weaning from prolonged ventilation. DESIGN, SETTING, AND PARTICIPANTS: Between 2000 and 2010, a randomized study was conducted in tracheotomized patients transferred to a single LTACH for weaning from prolonged ventilation...
February 20, 2013: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/21143773/clinical-review-the-abc-of-weaning-failure-a-structured-approach
#2
REVIEW
Leo M Heunks, Johannes G van der Hoeven
About 20% to 30% of patients are difficult to wean from invasive mechanical ventilation. The pathophysiology of difficult weaning is complex. Accordingly, determining the reason for difficult weaning and subsequently developing a treatment strategy require a dedicated clinician with in-depth knowledge of the pathophysiology of weaning failure. This review presents a structural framework ('ABCDE') for the assessment and treatment of difficult-to-wean patients. Earlier recognition of the underlying causes may expedite weaning from mechanical ventilation...
2010: Critical Care: the Official Journal of the Critical Care Forum
1
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"