Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support*

TL;DR: Among first-time ABIM Critical Care Medicine Certification Examination examinees, training in a high-intensity ventilator protocol environment compared with a low-intensity environment was not associated with worse performance on examination questions about mechanical ventilation management.

TL;DR: Usual weaning indexes are poor predictors for extubation outcome in the overall ICU population, as measured by reintubation rate and intensive care mortality.

TL;DR: When measured weekly, a TIE index of ≥1.0 cm H2O/s was a good predictor of success in subjects who required prolonged weaning in the authors' hospital.

TL;DR: ICU respiratory care equipment and the knowledge to use them are insufficient and important differences exist in respiratory care practice, which is mostly provided by nurses and physicians.

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.