Improved Protocols for Ventilator Liberation

Like many critical care interventions, mechanical ventilation is lifesaving when indicated but is beset by potential complications as the duration of use increases. Early identification of patients who are ready to be liberated from ventilator support is therefore key to the management of respirator...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 387; no. 20; pp. 1900 - 1901
Main Author Hardin, C. Corey
Format Journal Article
LanguageEnglish
Published Boston Massachusetts Medical Society 17.11.2022
Subjects
Clinical Medicine
Clinical Medicine General
Clinical trials
Critical Care
Critical Care General
Edema
Extubation
Hospital-Based Clinical Medicine
Lung diseases
Mechanical Ventilation
Patients
Pulmonary
Respiration
Respiratory failure
Ventilators
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Summary:Like many critical care interventions, mechanical ventilation is lifesaving when indicated but is beset by potential complications as the duration of use increases. Early identification of patients who are ready to be liberated from ventilator support is therefore key to the management of respiratory failure. Because clinician judgment lacks both sensitivity and specificity for identifying such patients, 1 this task is best accomplished by means of protocolized spontaneous-breathing trials, 2,3 in which patients who meet a defined set of criteria undergo a test period of minimal or no ventilator support. Many, if not most, patients who meet the criteria for a spontaneous-breathing . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Editorial-2
ObjectType-Commentary-1
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMe2212594