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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893753/
The term "weaning" is used to describe the gradual process of decreasing ventilator support. It is estimated that 40% of the duration of mechanical ventilation is dedicated to the process of weaning. Spontaneous breathing trial (SBT) assesses the patient's ability to breathe while receiving minimal ...Cited by: 3
https://www.sciencedirect.com/topics/medicine-and-dentistry/spontaneous-breathing-trial
Spontaneous Breathing (Weaning) Trial Protocol. 1. Begin the trial by switching the ventilator mode from synchronized intermittent mandatory ventilation (SIMV) or continuous mandatory ventilation (CMV) to continuous positive airway pressure (CPAP) with pressure support (PS) of 5 cm H 2 O. 2.
http://pocketicu.com/index.php/2017/02/24/ventilator-weaning/
Mar 25, 2019 · What is a sponteous breathing trial: Quite frequently, we hear that patients are placed on a pressure support or CPAP and that they passed a spontaneous breathing trial. I personally think that its a wrong concept. A pressure support or CPAP by definition is an assisted mode and not a spontaneous mode.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3762048/
The results of this randomized trial (using stability and failure criteria) suggest taking babies off CPAP with the aim of keeping them off reduces time on CPAP, length of weaning from support, oxygen duration, BPD, and duration of stay in the neonatal intensive care unit.
https://neonatalresearch.org/2014/03/10/weaning-cpap/
Mar 10, 2014 · Weaning CPAP. Posted on 10 March ... Which makes it remarkable that there are so few studies about how best to wean from support, including respiratory support. We are slowly accumulating some information about how to wean from respiratory support, and this new trial supports previous studies showing that cycling time-off CPAP is not helpful ...
https://www.mdanderson.org/documents/for-physicians/algorithms/clinical-management/clin-management-mechanical-ventilation-weaning-web-algorithm.pdf
SBT = spontaneous breathing trial PSV = pressure support ventilation CPAP = continuous positive airway pressure INTERVENTION Disclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson’s specific patient population, services and structure,
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