Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Criteria for Weaning From Prolonged Mechanical Ventilation

Criteria for Weaning From Prolonged Mechanical Ventilation Abstract • We retrospectively studied 11 instances of patients requiring prolonged mechanical ventilation. Their spontaneous ventilatory measurements were not useful in judging their ability to wean, since these measurements did not change from the period of unsuccessful weaning to the period of progressive weaning from the ventilator. An adverse factor score and a ventilator score were created to evaluate underlying medical and respiratory problems related to ability to wean. Each score and the sum of the two scores separated patients between unsuccessful and successful weaning periods. We also found that the course and the duration of the entire weaning process could be predicted once progressive weaning had begun. We conclude that the adverse factor score and ventilator score correlate with the ability of patients receiving prolonged mechanical ventilation to wean. (Arch Intern Med 1984;144:1012-1016) References 1. Sahn SA, Lakshminarayan S: Bedside criteria for discontinuation of mechanical ventilation. Chest 1973;63:1002-1005.Crossref 2. Sahn SA, Lakshminarayan S, Petty T: Weaning from mechanical ventilation. JAMA 1976;235:2208-2212.Crossref 3. Sivak ED: Prolonged mechanical ventilation: An approach to weaning. Cleve Clin Q 1980;47:89-96.Crossref 4. Scoggin CH: Weaning respiratory patients from mechanical support. J Respir Dis 1980;1:13-23. 5. Hodgkin JE, Bowser MA, Burton GG: Respiratory weaning. Crit Care Med 1974;2:96-102.Crossref 6. Gilbert R, Auchnclass JH, Peppi D, et al: The first few hours off a respirator. Chest 1974;65:152-157.Crossref 7. Grossman GD: Factors influencing the response to withdrawal from mechanical ventilation. Postgrad Med 1973;54:165-168. 8. Driver AG, Lebrum M: Iatrogenic malnutrition in patients receiving ventilatory support. JAMA 1980;244:2195-2196.Crossref 9. Corson JA, Grant JL, Moulton DP, et al: Use of biofeedback in weaning paralyzed patients from respirators. Chest 1979;76:543-545.Crossref 10. Davis H, Letrak S, Miller D, et al: Prolonged mechanical assisted ventilation: Analysis of outcomes and charges. JAMA 1980;243:43-45.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Criteria for Weaning From Prolonged Mechanical Ventilation

Loading next page...
 
/lp/american-medical-association/criteria-for-weaning-from-prolonged-mechanical-ventilation-7QckFh89sP
Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1984.00350170172028
Publisher site
See Article on Publisher Site

Abstract

Abstract • We retrospectively studied 11 instances of patients requiring prolonged mechanical ventilation. Their spontaneous ventilatory measurements were not useful in judging their ability to wean, since these measurements did not change from the period of unsuccessful weaning to the period of progressive weaning from the ventilator. An adverse factor score and a ventilator score were created to evaluate underlying medical and respiratory problems related to ability to wean. Each score and the sum of the two scores separated patients between unsuccessful and successful weaning periods. We also found that the course and the duration of the entire weaning process could be predicted once progressive weaning had begun. We conclude that the adverse factor score and ventilator score correlate with the ability of patients receiving prolonged mechanical ventilation to wean. (Arch Intern Med 1984;144:1012-1016) References 1. Sahn SA, Lakshminarayan S: Bedside criteria for discontinuation of mechanical ventilation. Chest 1973;63:1002-1005.Crossref 2. Sahn SA, Lakshminarayan S, Petty T: Weaning from mechanical ventilation. JAMA 1976;235:2208-2212.Crossref 3. Sivak ED: Prolonged mechanical ventilation: An approach to weaning. Cleve Clin Q 1980;47:89-96.Crossref 4. Scoggin CH: Weaning respiratory patients from mechanical support. J Respir Dis 1980;1:13-23. 5. Hodgkin JE, Bowser MA, Burton GG: Respiratory weaning. Crit Care Med 1974;2:96-102.Crossref 6. Gilbert R, Auchnclass JH, Peppi D, et al: The first few hours off a respirator. Chest 1974;65:152-157.Crossref 7. Grossman GD: Factors influencing the response to withdrawal from mechanical ventilation. Postgrad Med 1973;54:165-168. 8. Driver AG, Lebrum M: Iatrogenic malnutrition in patients receiving ventilatory support. JAMA 1980;244:2195-2196.Crossref 9. Corson JA, Grant JL, Moulton DP, et al: Use of biofeedback in weaning paralyzed patients from respirators. Chest 1979;76:543-545.Crossref 10. Davis H, Letrak S, Miller D, et al: Prolonged mechanical assisted ventilation: Analysis of outcomes and charges. JAMA 1980;243:43-45.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: May 1, 1984

References