Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the …

NR MacIntyre - Chest, 2001 - journal.chestnet.org
Patients require mechanical ventilatory support when the ventilatory and/or gas exchange
capabilities of their respiratory system fail. This failure can be the result of processes both …

Decision to extubate

S Epstein - Intensive care medicine, 2002 - Springer
The need for reintubation within 24–72 h of planned extubation is a common event,
occurring in 2–25% of extubated patients. Risk factors for extubation failure include being a …

Weaning from mechanical ventilation

JM Boles, J Bion, A Connors, M Herridge… - European …, 2007 - Eur Respiratory Soc
Weaning covers the entire process of liberating the patient from mechanical support and
from the endotracheal tube. Many controversial questions remain concerning the best …

Predicting success in weaning from mechanical ventilation

M Meade, G Guyatt, D Cook, L Griffith, T Sinuff, C Kergl… - Chest, 2001 - Elsevier
We identified 65 observational studies of weaning predictors that had been reported in 70
publications. After grouping predictors with similar names but different thresholds, the …

Diaphragm ultrasound as a new method to predict extubation outcome in mechanically ventilated patients

S Farghaly, AA Hasan - Australian Critical Care, 2017 - Elsevier
Aim To evaluate role of diaphragmatic thickening and excursion, assessed
ultrasonographically, in predicting extubation outcome. Methods Fifty-four patients who …

Extubation failure: magnitude of the problem, impact on outcomes, and prevention

RC Rothaar, SK Epstein - Current opinion in critical care, 2003 - journals.lww.com
Extubation failure, defined as the need for reinstitution of ventilatory support within 24 to 72
hours of planned endotracheal tube removal, occurs in 2 to 25% of extubated patients. The …

Can diaphragmatic ultrasonography performed during the T-tube trial predict weaning failure? The role of diaphragmatic rapid shallow breathing index

S Spadaro, S Grasso, T Mauri, F Dalla Corte, V Alvisi… - Critical Care, 2016 - Springer
Background The rapid shallow breathing index (RSBI), which is the ratio between
respiratory rate (RR) and tidal volume (VT), is one of the most widely used indices to predict …

Effects of mechanical insufflation-exsufflation in preventing respiratory failure after extubation: a randomized controlled trial

MR Gonçalves, T Honrado, JC Winck, JA Paiva - Critical care, 2012 - Springer
Introduction Weaning protocols that include noninvasive ventilation (NIV) decrease re-
intubation rates and ICU length of stay. However, impaired airway clearance is associated …

Ultrasound assessment of diaphragmatic dysfunction as a predictor of weaning outcome from mechanical ventilation: a systematic review and meta-analysis

Z Qian, M Yang, L Li, Y Chen - BMJ open, 2018 - bmjopen.bmj.com
Objective The aim of this systematic review was to assess the diaphragmatic dysfunction
(DD) as a predictor of weaning outcome. Background Successful weaning depends on …

Ventilatory failure, ventilator support, and ventilator weaning

MJ Tobin, F Laghi, A Jubran - Comprehensive Physiology, 2012 - Wiley Online Library
The development of acute ventilatory failure represents an inability of the respiratory control
system to maintain a level of respiratory motor output to cope with the metabolic demands of …