Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support*

TL;DR: Three of them are the most frequently used: volume controlled ventilation, pressure controlled ventilation (PCV) and pressure support ventilation (PSV), and there is no demonstration of superiority of one over the other, provided that their limitations are respected.

TL;DR: Early tracheostomy is associated with fewer ICU and hospital days, higher rates of successful ventilator weaning, and lower mortality in the VA population.

TL;DR: In this article, the authors investigate heart rate and respiratory rate complexity in patients with weaning failure or success, using both linear and nonlinear techniques, and suggest that nonlinear analysis of cardiorespiratory dynamics has increased prognostic impact upon weaning outcome in surgical patients.

TL;DR: Whether the WD in COPD patients is less or greater than 24 hours is not only determined by the medical treatment administered, but also by the patient and disease characteristics.

TL;DR: The patient is a 28-year-old man whose acute onset of shortness of breath and vague chest pain began shortly after completing a 10-hour auto trip, and the physician is very apprehensive about his symptoms.

TL;DR: You are back where you were in the previous article1 on diagnostic tests: in the library studying an article that will guide you in interpreting ventilation-perfusion (V/Q) lung scans.

TL;DR: Daily screening of the respiratory function of adults receiving mechanical ventilation, followed by trials of spontaneous breathing in appropriate patients and notification of their physicians when the trials were successful, can reduce the duration of mechanical ventilation and the cost of intensive care and is associated with fewer complications than usual care.

TL;DR: A prospective, randomized, multicenter study involving 546 patients who had received mechanical ventilation for a mean of 7.5±6.1 days and who were considered by their physicians to be ready for weaning, randomly assigned to undergo one of four weaning techniques.