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https://litfl.com/weaning-from-mechanical-ventilation/
Mar 20, 2019 · 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 is the process of liberation from, or discontinuation of, mechanical ventilatory support (‘weaning’ per se is not always ...
https://www.sciencedirect.com/topics/medicine-and-dentistry/pressure-support-ventilation
Pressure-support ventilation is a form of partial ventilatory support in which the size of each breath is determined partially by the patient's muscular effort and partially by the ventilator. This mode can compensate for the added work of breathing imposed by the resistance of the endotracheal tube compared with the natural airway.
https://www.uptodate.com/contents/methods-of-weaning-from-mechanical-ventilation
Weaning – Weaning is the process of decreasing the amount of support that the patient receives from the mechanical ventilator, so the patient assumes a greater proportion of the ventilatory effort. The purpose is to assess the probability that mechanical ventilation can be successfully discontinued.
https://www.medscape.com/answers/810126-45467/what-is-pressure-support-ventilation-psv
Nov 10, 2019 · For the spontaneously breathing patient, pressure support ventilation (PSV) has been advocated to limit barotrauma and to decrease the work of …
https://www.cochrane.org/CD006056/EMERG_weaning-mechanical-ventilation-using-pressure-support-or-t-tube-spontaneous-breathing-trial
May 27, 2014 · To date, we have found evidence of generally low quality from studies comparing pressure support ventilation (PSV) and with a T-tube. The effects on weaning success, ICU mortality, reintubation, ICU and LWU length of stay, and pneumonia were imprecise. However, PSV was more effective than a T-tube for successful spontaneous breathing trials (SBTs) among patients with simple …
https://www.medscape.com/viewarticle/430256
Nov 05, 2019 · Brochard and colleagues examined 8 patients with difficulty weaning from mechanical ventilation, using varying levels of pressure support (PS 0, 10, 15, and 20 cm H 2 O), and assessed ...
https://www.wfsahq.org/components/com_virtual_library/media/638e81d0a0cb0d857a0f6327973d643c-372-Weaning-from-ventilator.pdf
mechanical ventilation. This is commonly done using a pressure support ventilation (PSV) mode or a T-piece trial. If the patient can maintain gas exchange at minimal levels of pressure support (usually 5 to 10 cm H 2O) or when on the T-piece, the feasibility of weaning from mechanical ventilatory support can be …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6492521/
May 27, 2014 · Objectives. To evaluate the effectiveness and safety of two strategies, a T‐tube and pressure support ventilation, for weaning adult patients with respiratory failure that required invasive mechanical ventilation for at least 24 hours, measuring weaning …Cited by: 52
https://www.acc.org/latest-in-cardiology/journal-scans/2019/06/17/14/10/effect-of-pressure-support-vs-t-piece-ventilation
Jun 17, 2019 · ICU patients meeting criteria for weaning from mechanical ventilation were more often able to tolerate a shorter (30-minute) SBT with 8-cm H 2 O pressure support compared to a longer (2-hour) SBT on T-piece. Completion of the shorter, PSV-supported SBT predicted successful extubation with similar frequency as the longer T-piece-supported SBT.
https://pulmccm.org/randomized-controlled-trials/trach-collar-beats-pressure-support-trials-for-long-term-ventilator-weaning-rct-jama/
"Trach Collar" Trials Beat Pressure Support for Long-Term Ventilator Weaning. By Blair Westerly, MD. Patients requiring prolonged mechanical ventilation linger in ICUs and long-term acute care hospitals for weeks, accounting for a significant portion of intensive care unit costs and often suffering serious complications while dependent on the ventilator.
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