Format

Send to

Choose Destination
See comment in PubMed Commons below
Crit Care Nurs Clin North Am. 2012 Sep;24(3):457-68. doi: 10.1016/j.ccell.2012.05.001. Epub 2012 Jun 29.

Weaning from mechanical ventilation: where were we then, and where are we now?

Author information

  • 1University of Virginia Health System, School of Nursing, University of Virginia, Box 800826, Claude Moore Building, 225 Jeanette Lancaster Way, Charlottesville, VA 22903-3387, USA. smb4h@virginia.edu

Abstract

Weaning patients from long-term mechanical ventilation (LTMV) has been an important focus of clinical process improvement initiatives and research for decades. The purpose of this article is to describe the science that drives our current weaning practices, including (1) preweaning assessment, (2) individualized weaning plans, (3) weaning prediction, (4) the use of protocols and guidelines for weaning trials and sedation management, (5) timing of tracheostomy placement, and (6) system initiatives for the management of LTMV patients. Finally, this article discusses potential interventions for improving the outcomes of patients who require prolonged mechanical ventilation.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk