Post-traumatic stress disorder after weaning from prolonged mechanical ventilation

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Weaning from prolonged mechanical ventilation using an antipsychotic agent in a patient with acute stress disorder.

OBJECTIVE To report the use of a second-generation antipsychotic agent to assist weaning from prolonged mechanical ventilation in an anxious patient. DESIGN Case report. SETTING Medical intensive care unit at the Hospital of the University of Pennsylvania. PATIENT A 39-yr-old white female whose severe anxiety prohibited weaning from prolonged mechanical ventilation. INTERVENTIONS Initia...

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Weaning unit and prolonged mechanical ventilation after critical illness

Methods We retrospectively reviewed medical records of tracheostomized and clinically stable ICU adults patients who required PMV (> 21 days) and weaning (> 7 days) and were transferred to a WU or a GW over a 8-year period (2007-2014) after critical illness. The study was carried out in two tertiary care university hospitals. Study variables were age, sex, APACHE II score, principal diagnosis, ...

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Weaning from mechanical ventilation

D iscontinuation of ventilation is estimated to take up to 40% of the total duration of ventilatory support, and around 3–6% of patients admitted to the intensive care unit (ICU) require a prolonged course of mechanical ventilation (MV). Patients being liberated from ventilatory support therefore occupy a significantnumber of ICUbeds andhave a major impact on healthcare resources. There have be...

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Weaning from mechanical ventilation.

Approximately 20% of all mechanically ventilated patients fail their first attempt to wean. Prolonged mechanical ventilation increases morbidity, mortality, and costs. No single weaning parameter predicts patient ability to wean. Weaning studies suggest that daily trials of spontaneous breathing for appropriate patients assured by standing protocol and driven by respiratory care practitioners a...

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ژورنال

عنوان ژورنال: Intensive Care Medicine

سال: 2010

ISSN: 0342-4642,1432-1238

DOI: 10.1007/s00134-010-1972-8