Mechanical Ventilator Discontinuation Process

Lingye Chen; Daniel Gilstrap; Christopher E Cox

doi:10.1016/j.ccm.2016.07.009

Mechanical Ventilator Discontinuation Process

Clin Chest Med. 2016 Dec;37(4):693-699. doi: 10.1016/j.ccm.2016.07.009. Epub 2016 Sep 10.

Authors

Lingye Chen¹, Daniel Gilstrap¹, Christopher E Cox²

Affiliations

¹ Division of Pulmonary & Critical Care Medicine, Department of Medicine, Duke University, 2301 Erwin Road, Durham, NC 27705, USA.
² Division of Pulmonary & Critical Care Medicine, Department of Medicine, Duke University, 2301 Erwin Road, Durham, NC 27705, USA; Program to Support People and Enhance Recovery, Duke University, 2301 Erwin Road, Durham, NC 27705, USA. Electronic address: christopher.cox@duke.edu.

PMID: 27842749
DOI: 10.1016/j.ccm.2016.07.009

Abstract

The goal of this article is to discuss approaches to discontinuing invasive mechanical ventilation in a general intensive care unit (ICU) population. It considers approaches in which the clinician expects patient survival, as well as those that do not. Additionally, approaches to acute and chronic critical illness are included.

Keywords: Critical illness; Liberation; Mechanical ventilation; Protocol; Weaning.

Publication types

Review

MeSH terms

Critical Illness
Guideline Adherence
Humans
Intensive Care Units
Respiration, Artificial / methods*
Time Factors
Ventilator Weaning / methods*