The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Weaning from mechanical ventilation
Abstract
Weaning covers the entire process of liberating the patient from mechanical support and from the endotracheal tube. Many controversial questions remain concerning the best methods for conducting this process. An International Consensus Conference was held in April 2005 to provide recommendations regarding the management of this process. An 11-member international jury answered five pre-defined questions. 1) What is known about the epidemiology of weaning problems? 2) What is the pathophysiology of weaning failure? 3) What is the usual process of initial weaning from the ventilator? 4) Is there a role for different ventilator modes in more difficult weaning? 5) How should patients with prolonged weaning failure be managed? The main recommendations were as follows. 1) Patients should be categorised into three groups based on the difficulty and duration of the weaning process. 2) Weaning should be considered as early as possible. 3) A spontaneous breathing trial is the major diagnostic test to determine whether patients can be successfully extubated. 4) The initial trial should last 30 min and consist of either T-tube breathing or low levels of pressure support. 5) Pressure support or assist–control ventilation modes should be favoured in patients failing an initial trial/trials. 6) Noninvasive ventilation techniques should be considered in selected patients to shorten the duration of intubation but should not be routinely used as a tool for extubation failure.
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Citations
Cites
Delirium as a Predictor of Mortality in Mechanically Ventilated Patients in the Intensive Care Unit
Ely, E. W. (2004) · JAMA · doi:10.1001/jama.291.14.1753 · Cited by 3,073
One-Year Outcomes in Survivors of the Acute Respiratory Distress Syndrome
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BackgroundInfluentialSelf-citationRisk of post-traumatic stress symptoms in family members of intensive care unit patients
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Rehabilitation after critical illness: A randomized, controlled trial.
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Impact of Body Mass Index on Outcomes Following Critical Care
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Cited by
Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure
Rochwerg, B., Brochard, L., Elliott, M. W., Hess, D., Hill, N. S., Nava, S., Navalesi, P., Antonelli, M., Brozek, J., Conti, G., et al. (2017) · European Respiratory Journal · doi:10.1183/13993003.02426-2016 · Cited by 1,668
Evolution of Diaphragm Thickness during Mechanical Ventilation. Impact of Inspiratory Effort
Goligher, E. C., Fan, E., Herridge, M. S., Murray, A., Vorona, S., Brace, D., Rittayamai, N., Lanys, A., Tomlinson, G., Singh, J. M., et al. (2015) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201503-0620oc · Cited by 608
Self-citationBTS/ICS guideline for the ventilatory management of acute hypercapnic respiratory failure in adults
Davidson, A. C., Banham, S., Elliott, M., Kennedy, D., Gelder, C., Glossop, A., Church, A. C., Creagh-Brown, B., Dodd, J. W., Felton, T., et al. (2016) · Thorax · doi:10.1136/thoraxjnl-2015-208209 · Cited by 426
Peñuelas, O., Frutos-Vivar, F., Fernández, C., Anzueto, A., Epstein, S. K., Apezteguía, C., González, M., Nin, N., Raymondos, K., Tomicic, V., et al. (2011) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201011-1887oc · Cited by 350
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Metadata
- Authors
- Boles, J.-M., Bion, J., Connors, A., Herridge, M., Marsh, B., Melot, C., Pearl, R., Silverman, H., Stanchina, M., Vieillard-Baron, A., & Welte, T.
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 2007-04-30
- Volume
- 29
- Issue
- 5
- Pages
- 1033-1056
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W2142104245
- Cited by
- 2,064
- References
- 7
- FWCI
- 32.03
- Type
- journal article
- Language
- en
- Open access
- closed
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- Boles, J.-M., Bion, J., Connors, A., Herridge, M., Marsh, B., Melot, C., Pearl, R., Silverman, H., Stanchina, M., Vieillard-Baron, A., & Welte, T. (2007). Weaning from mechanical ventilation. European Respiratory Journal. https://doi.org/10.1183/09031936.00010206
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