Clinical review: The ABC of weaning failure - a structured approach
نویسندگان
چکیده
About 20% to 30% of patients are difficult to wean from invasive mechanical ventilation. The pathophysiology of difficult weaning is complex. Accordingly, determining the reason for difficult weaning and subsequently developing a treatment strategy require a dedicated clinician with in-depth knowledge of the pathophysiology of weaning failure. This review presents a structural framework ('ABCDE') for the assessment and treatment of difficult-to-wean patients. Earlier recognition of the underlying causes may expedite weaning from mechanical ventilation.
منابع مشابه
Difficult weaning: Principles and practice of a structured diagnostic approach
Difficult weaning from mechanical ventilation is a major problem in critically ill patients. The pathophysiology of weaning failure is complex and multiple causes for difficult weaning may exist in any single patient. We have recently developed a structural framework (‘ABCDE’) for the assessment and treatment of difficult-to-wean patients. In this article, we present the case of a difficult-to-...
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