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The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation.

Brochard, L, Rauss, A, Benito, S, Conti, G, Mancebo, J, Rekik, N, Gasparetto, A, Lemaire, F·1994·American Journal of Respiratory and Critical Care Medicine

Abstract

Several modalities of ventilatory support have been proposed to gradually withdraw patients from mechanical ventilation, but their respective effects on the outcome of weaning from mechanical ventilation are not known. We conducted a randomized trial in three intensive care units in mechanically ventilated patients who met standard weaning criteria. Those who could not sustain 2 h of spontaneous breathing were randomly assigned to be weaned with T-piece trials, with synchronized intermittent mandatory ventilation (SIMV), or with pressure support ventilation (PSV). Specific criteria for performing tracheal extubation were defined for each modality. The number of patients who could not be separated from the ventilator at 21 d (i.e., who failed to wean) was compared between the groups. Patients in whom tracheal intubation was required in a 48-h period following extubation were also classified as failures. Among 456 mechanically ventilated patients who met weaning criteria, 109 entered into the study (35 with T piece, 43 with SIMV, and 31 with PSV). The three groups were comparable in terms of etiology of disease or characteristics at entry in the study. When all causes for weaning failure were considered, a lower number of failures was found with PSV than with the other two modes, with the difference just reaching the level of significance (23% for PSV, 43% for T piece, 42% for SIMV; p = 0.05). After excluding patients whose weaning was terminated for complications unrelated to the weaning process, the difference became highly significant (8% for PSV versus 33% and 39%, p < 0.025).(ABSTRACT TRUNCATED AT 250 WORDS)

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Metadata

Authors
Brochard, L., Rauss, A., Benito, S., Conti, G., Mancebo, J., Rekik, N., Gasparetto, A., & Lemaire, F.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
1994-10
Volume
150
Issue
4
Pages
896-903
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W2157202254
Cited by
1,122
References
12
FWCI
23.88
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. https://app.cochat.ai/papers/10.1164/ajrccm.150.4.7921460
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Brochard, L., Rauss, A., Benito, S., Conti, G., Mancebo, J., Rekik, N., Gasparetto, A., & Lemaire, F. (1994). Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/ajrccm.150.4.7921460

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