Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support*

TL;DR: The latest ICG technology for determining CO (CO-ICG) is less variable and more reproducible in an intrapatient sense than is CO-TD, it is equivalent to the average acceptedCO-TD in post-coronary artery bypass graft patients, and showed marked improvement in agreement with CO- TD compared to measurements made using previous generation ICG CO equations.

TL;DR: An endotracheal tube air leak pressure ≥30 cm H2O measured in the nonparalyzed patient beforeextubation or for the duration of mechanical ventilation was common and did not predict an increased risk for extubation failure.

TL;DR: This chapter reviews ventilatory management in critically ill pregnant patients, focusing on early identification and mechanical support to prevent tissue hypoxia, a major threat to organ function, and optimize oxygen delivery.

TL;DR: Public reporting of ICU in-hospital mortality rates was associated with changes in discharge patterns but no change in risk-adjusted mortality, and discharge patterns after the introduction of public reporting had no significant differences.

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.