Long-term mechanical ventilation: management strategies

Long-term mechanical ventilation: management strategies

This paper reviews management strategies for patients undergoing prolonged mechanical ventilation (PMV). Topics covered include how to identify and correct barriers to weaning, the systematic approach to weaning trials, when to cease weaning trials and proceed with life-long support, managing the tr...

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Veröffentlicht in:Respiratory care 2012-06, Vol.57 (6), p.889-899
1. Verfasser: White, Alexander C
Format: Artikel
Sprache:eng
Schlagworte:
Artificial respiration
Care and treatment
Diaphragm - physiopathology
Health aspects
Heart Failure - epidemiology
Humans
Long-Term Care
Myocardial Ischemia - epidemiology
Patient outcomes
Pulmonary Disease, Chronic Obstructive - therapy
Respiration, Artificial - statistics & numerical data
Respiratory insufficiency
Respiratory Insufficiency - physiopathology
Respiratory Insufficiency - therapy
Survivors
Tracheostomy
Ventilator Weaning
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Beschreibung
Zusammenfassung:This paper reviews management strategies for patients undergoing prolonged mechanical ventilation (PMV). Topics covered include how to identify and correct barriers to weaning, the systematic approach to weaning trials, when to cease weaning trials and proceed with life-long support, managing the tracheostomy tube during PMV, and, finally, how to select a suitable mechanical ventilator for PMV.
ISSN:0020-1324
1943-3654
DOI:10.4187/respcare.01850