Document Detail


Monitoring ventilator weaning--predictors of success.
MedLine Citation:
PMID:  12580224     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Improving the prediction of successful ventilator weaning and extubation is a goal that all Intensivists and perioperative physicians strive for. The successful wean and extubation of ventilated patients decreases hospital length of stay and associated costs, but more importantly it also reduces patient morbidity and mortality. This review evaluates traditional and novel indices used in the assessment for ventilatory wean readiness. Novel equipment such as the Bicore pulmonary monitor and the CO2 SMO Plus are now available on the market to assess and monitor ventilator weaning and may offer some value in this process. We also review the non-respiratory factors affecting weaning and the role of the bedside nurse and respiratory therapist. Resolution of the pulmonary compromise and an understanding of respiratory physiology, used in conjunction with monitored indices of weaning parameters in a consistent fashion will continue to improve our success rates of ventilator weaning and extubation.
Authors:
L Weavind; A D Shaw; T W Feeley
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of clinical monitoring and computing     Volume:  16     ISSN:  1387-1307     ISO Abbreviation:  J Clin Monit Comput     Publication Date:  2000  
Date Detail:
Created Date:  2003-02-12     Completed Date:  2003-02-25     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9806357     Medline TA:  J Clin Monit Comput     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  409-16     Citation Subset:  IM    
Affiliation:
Department of Critical Care Medicine, University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Humans
Length of Stay
Monitoring, Physiologic
Nursing Care
Prognosis
Respiration, Artificial*
Respiratory Function Tests
Respiratory Therapy
Risk Factors
Ventilator Weaning*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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