Ventilator weaning. Medical search. Frequent questions

The risk of ventilator-associated pneumonia increases about 1% per day each day a patient is on the ventilator, and the mental stress a patient endures is huge," said Dr. Jubran. (medscape.com)
The former indicator I "elevation of head of bed" was replaced by the indic ator "Daily multi-professional ward rounds with the documentation of daily therapy goals" and added to the indicator IV "Weaning and other measures to prevent ventilator associated pneumonias (short: Weaning/VAP Bundle)" (VAP = ventilator-associated pneumonia) which aims at the reduction of VAP incidence. (egms.de)
Impact of prior statin therapy on the outcome of patients with suspected ventilator-associated pneumonia: an observational study. (flutrackers.com)
Editorial: Is Ventilator-Associated Pneumonia More Frequent in Patients With Coronavirus Disease 2019? (sccm.org)
In this Clinical Investigation the authors estimated the overall incidence of ventilator-associated pneumonia, the cumulative incidence, and hazard rate of the first and the second ventilator-associated pneumonia. (sccm.org)

Although the 316 patients randomized did not tolerate the procedure, 184 - more than a third - were successfully weaned from ventilation within a few days of arrival. (medscape.com)

This article discusses the use of mechanical ventilators in infants. (nih.gov)

To conduct a blinded evaluation of the predictors of weaning from mechanical ventilation. (nih.gov)
The study had two steps: at first, patients' data were used to select the cut-off value for weaning predictors (the minimal false classification). (nih.gov)
Our results show that all the evaluated indexes are poor predictors of weaning outcome in a general intensive care unit population. (nih.gov)

Dr. Jubran said the tracheostomy collar helps give clinicians confidence when making the decision to take a patient off ventilation, which could explain why these patients were generally weaned faster. (medscape.com)
The fact that "as many as a third of patients who had been on ventilators for more than 21 days were weaned from them as soon as they left the ICU and were under the care of someone else should cause us to take another look at how we are handling these patients," Dr. Tisherman told Medscape Medical News . (medscape.com)
Patients on ventilators consume about 37% of intensive care unit costs, and the expense associated with long-term acute care hospitals exceeds $1 billion. (medscape.com)
To describe clinical and electrophysiologic features and outcomes of critically ill patients with neuromuscular causes of failure to wean from mechanical ventilator support. (nih.gov)
Seven patients during a 3-yr period with failure to wean from mechanical ventilation not explained by pulmonary complications. (nih.gov)
Patients should be assessed daily for their readiness to be weaned from mechanical ventilation by withdrawing sedation and performing a spontaneous breathing trial. (wikipedia.org)
114 patients (26.5%) maintained the tracheostomy despite weaning from mechanical ventilation and 42 patients (10%) died or lost. (nih.gov)
Reports of unusually high death rates for COVID-19 patients on ventilators have raised alarms, and some doctors are looking to reduce reliance on the breathing machines when possible. (bioworld.com)
To advance that goal, Lungpacer Medical Inc., of Vancouver, British Columbia, has obtained an emergency use authorization (EUA) from the U.S. FDA for its Lungpacer diaphragmatic pacing therapy system (DPTS) for immediate use in ventilator patients at high risk of weaning failure, including patients with the novel coronavirus. (bioworld.com)
Use of a device that supplies humidified oxygen is more effective than a technique that reduces positive airway pressure delivered to the lungs in helping patients who have been on a ventilator more than 21 days regain the ability to breathe on their own, according to a study supported by the National Institutes of Health. (nih.gov)
The research compared twocommon methods for removing such patients from a ventilator, a practice known as weaning. (nih.gov)
Researchers examined data on patients in long-term acute care hospitals (LTACH), which specialize in weaning patients from ventilators. (nih.gov)
The results of the study show that the method of ventilator weaning can significantly improve the outcome of patients who require prolonged mechanical ventilation at an LTACH facility," said Jubran. (nih.gov)
The data also indicated that some patients could have been weaned at the ICU, avoiding the need for transfer to the LTACH, since more than 32 percent of the 500 enrolled passed the five-day unassisted breathing challenge. (nih.gov)
HGS had significantly negative correlation with RSBI for assessment of weaning from MV. A prospective study of the HGS cutoff value is needed to investigate the difference between patients who succeeded and those who failed extubation. (hindawi.com)
It is the most accurate predictor of failure in weaning patients from MV [ 3 ] and is the most frequently studied and seems to be an important measurement tool in deciding whether to wean or extubate a patient [ 4 ]. (hindawi.com)
HGS can predict difficult or prolonged weaning in mechanically ventilated patients, supported by a previous study that showed different HGS between weaning groups: 20 kg, 12 kg, and 6 kg for simple, difficult, and prolonged weaning, respectively [ 8 ]. (hindawi.com)
Staying up to date on emerging applications, including noninvasive ventilation (NIV) and high-flow therapy, is important given how many patients are ventilated during a hospital stay and the importance of weaning to reduce complications from continued breathing assistance. (philips.com.tr)
The venue, which was converted in under two weeks into a fully equipped medical facility, opened with 500 beds - all equipped with ventilators and oxygen - and enough potential capacity to provide support to 4,000 patients. (csp.org.uk)
COVID-19 patients frequently need oxygen and air support - currently being provided using ventilators with an invasive intubation process that can put healthcare professionals at risk of infection. (nyu.edu)
These patients also often require longer times on ventilators vs. other conditions, leading to a looming ventilator shortage. (nyu.edu)
These machines can be used in tandem with ventilators to reduce the time patients require ventilator support and free up ventilators for others. (nyu.edu)
Aux États-Unis, lorsque le séjour en unité des soins intensifs est prolongé, les patients peuvent être transférés vers un CHSLD. (who.int)
Dans la pratique, les patients qui ont besoin de soins de longue durée en Turquie sont hospitalisés en unités de soins intensifs. (who.int)
Une proportion importante des lits réservés aux unités de soins intensifs en Turquie sont utilisés pour les soins de longue durée aux patients atteints de problèmes complexes. (who.int)
Prolonged ventilator dependence can weaken the diaphragm muscle up to 50% in less than one day making it extremely difficult for patients to wean off ventilators. (newswise.com)

When MV is extended, it may cause several problems, this been said the weaning from mechanical ventilation (WMV) must be brief. (bvsalud.org)
[4] Servo-u lets you monitor the patient's diaphragm activity (Edi) to personalize ventilation for successful weaning. (getinge.com)
The rapid shallow breathing index (RSBI) or Yang Tobin index is a tool that is used in the weaning of mechanical ventilation on intensive care units. (wikipedia.org)
During the first 2 min after discontinuation of mechanical ventilation the following tests were performed: vital capacity, tidal volume, airway occlusion pressure (P(0.1)), minute ventilation, respiratory rate, maximal inspiratory pressure (MIP), respiratory frequency to tidal volume (f/V(T)), P(0.1)/MIP and P(0.1) x f/V(T). The areas under the curve showed that the tests had not the ability to distinguish between successful and unsuccessful weaning. (nih.gov)
Assessment of weaning from mechanical ventilation (MV) is an important process. (hindawi.com)
An inflated cuff is typically used during mechanical ventilation to ensure that all air is delivered through the tracheostomy tube, to the lungs, and then returned to the ventilator to be monitored and measured. (passy-muir.com)
2012). A Multidisciplinary team approach to weaning from prolonged mechanical ventilation. (passy-muir.com)
The Dräger Evita XL is a feature-rich ventilator designed to help caregivers deliver comprehensive, optimal ventilation - from implementation to the weaning process. (dremed.com)
[5] , [6] Making it easier to identify over-assist, over-sedation and asynchrony when optimizing ventilation delivery and assessing weaning readiness. (getinge.com)
An example of one of the utilities of noninvasive ventilation is to assist in weaning from mechanical ventilation. (novapublishers.com)
For these reasons, mechanical ventilation continues to be a matter of controversy and continuous analysis for medical community and growing field of technological advances that optimize patient-ventilator interaction and outcome. (novapublishers.com)
Patient-ventilator asynchrony, sedation and neuromuscular protocols in mechanical ventilation can be complicated by prolonged mechanical ventilation, weaning failure, sepsis and delirium. (novapublishers.com)
Weaning from mechanical ventilation, hospital discharge and early mobilization are important aspects of how to identify weaning candidates-screening and planning how release from mechanical ventilation (ventilatory options, protocols), reintubation, rehabilitation and goals-directed mobilization and discharge planning from hospitals receiving long-term mechanical ventilation. (novapublishers.com)
I dette afsnit kan du finde en række casestudier om forskellige emner, herunder anæstesi, bilateral ventilation, engangsventiler og en række SmartCare® applikationer. (draeger.com)
Conclusion: Given the rapid response of BLES in all the groups, careful monitoring of ventilator parameters is paramount to allow for rapid weaning and early extubation to avoid lung injury associated with mechanical ventilation. (bepress.com)

Weaning was considered successful if spontaneous breathing was sustained for more than 48 h after extubation. (nih.gov)
However, the results of several studies revealed that weaning and extubation should be guided by several parameters and not only by respiratory ones [ 4 ]. (hindawi.com)

Assessment of their readiness for ventilator weaning is a crucial approach to reduce complications and mortality [ 1 ]. (hindawi.com)
This can lead to reduced need for sedation, fewer complications and shorter weaning periods. (getinge.com)

Although there were no significant differences in mortality between the 2 groups at 1 year, the importance of 4 fewer days on a ventilator is profound, lead investigator Amal Jubran, MD, professor of medicine and section chief of the division of pulmonary and critical care at the Edward Hines Jr. Veterans Administration Hospital in Illinois, told Medscape Medical News . (medscape.com)

A RSBI score of less than 65 indicating a relatively low respiratory rate compared to tidal volume is generally considered as an indication of weaning readiness. (wikipedia.org)

MV dramatically reduces diaphragm contractility, induces ventilator-induced diaphragm dysfunction (VIDD) and sometimes leads to weaning failure. (nih.gov)

Furthermore especially core processes of routine care in intensive care medicine are represented like ventilator therapy, antiinfective therapy as well as analgesia, sedation and management of delirium, nutrition, hygiene, controlled hypothermia and management of relatives. (egms.de)

Clinicians are often uncertain of how to make appropriate ventilator adjustments for cuff deflation and placement of the Valve in-line. (passy-muir.com)
As the SLP concentrated on tolerance of tracheostomy cuff deflation and coordination of ventilator cycles with vocalization during deflation trials, the PT and OT worked on maximizing speech to improve use of electronic aids to daily living (EADLs), instruction of care, and socialization by incorporating the strategies learned. (rehabpub.com)

When a patient is on a tracheostomy collar, he is getting no assistance at all from the ventilator - he is breathing entirely on his own - and the clinician watching the patient gets a clear view of how much respiratory work the patient is doing," she explained. (medscape.com)
The study found the median weaning time among the 194 study participants in an LTACH was six days shorter with tracheostomy collar use. (nih.gov)
They were then randomly assigned to pressure support or a tracheostomy collar for weaning. (nih.gov)
Researchers also found a difference in weaning rates based on the time it had taken a patient to fail the screening procedure, with the late-failure group weaning 2.2 times faster with the tracheostomy collar than with pressure support. (nih.gov)

HGS may be a useful tool for the weaning assessment from prolonged MV at a long-term acute-care hospital, in addition to the maximum inspiratory pressure (PImax) [ 6 ]. (hindawi.com)
Use of the Passy Muir ® Valve for weaning in long term acute care hospital. (passy-muir.com)

In addition, the researchers discovered several clinical variables associated with the time required for successful weaning in addition to weaning technique: age, ventilator duration before randomizing, the ratio of how fast and deep a patient could breathe, and the strength of a patient's ability to inhale. (nih.gov)
It is essential that NIV is applied in an appropriate clinical area by appropriately trained staff using the optimal ventilator mode, settings, and interface for that patient with adequate monitoring. (bmj.com)

Servo ventilators equipped with NAVA can display your patient's diaphragm activity on screen, so you can improve patient-ventilator synchrony and comfort. (getinge.com)

Servo-u gives you many options for personalized lung protection and weaning. (getinge.com)
The Servo ventilator and and/or ventilator options presented on this page may be pending regulatory approvals to be marketed in your country. (getinge.com)
As our most advanced ventilator, Servo-u builds on more than 50 years of groundbreaking innovations. (getinge.com)
Servo ventilators are built on more than 50 years of close collaboration with intensive care clinicians around the world. (getinge.com)
Several components are interchangeable with other Servo ventilators, to help optimize uptime and reduce purchase and maintenance costs. (getinge.com)
Servo-u is our most complete ventilator, offering a wide range of tools and therapies for advanced care. (getinge.com)
Newer generation ventilators such as Hamilton-T1, Dräger Evita XL, and Maquet Servo-I, have integrated mainstream "volumetric" CO 2 sensors that allow calculations of mixed expired CO 2 pressure (PĒCO 2 ) and real-time VD fraction [ 4 , 5 ]. (biomedcentral.com)

Ventilators are machines that blow air into your airways and your lungs. (nih.gov)
There are two ways to get air from the ventilator into your lungs. (nih.gov)
You may wear a face mask to get air from the ventilator into your lungs. (nih.gov)
When you are on the ventilator, your doctor may have you lie on your stomach instead of your back to help the air and blood flow in your lungs more evenly and help your lungs get more oxygen. (nih.gov)
They may need help from a ventilator to provide "good air" (oxygen) to the lungs and to remove "bad" exhaled air (carbon dioxide). (nih.gov)
Most babies who need ventilator assistance have some lung problems, including immature or diseased lungs, which are at risk for injury. (nih.gov)
They took turns holding my hands while a ventilator pushed air in and out of my lungs, and my body swelled from the flood of fluids and antibiotics. (cdc.gov)
To alleviate the breathing difficulties in the most serious cases, a ventilator is used to push air, with increased levels of oxygen, into the lungs. (europa.eu)

Multidisciplinary teams that incorporate the Valve as a routine strategy in ventilator weaning have improved outcomes. (passy-muir.com)

Some infants have long-term lung damage and require oxygen and breathing support, such as with a ventilator. (medlineplus.gov)
They will try to "wean" the baby from oxygen or decrease the ventilator settings whenever possible. (nih.gov)
Maintain treatment up to 14 days or until the underlying oxygen desaturation has resolved and the neonate is ready to be weaned from Noxivent™ therapy. (nih.gov)
Data were analyzed to determine the timing of initial dose, the length of time to wean the fraction of inspired oxygen (FiO2) concentration to 0.21 following initial dose, and the number of repeated doses given during hospital admission. (bepress.com)

SmartCare® / PS automated weaning system provides continuous vigilance for opportunities to reduce the level of ventilator support. (dremed.com)

Median (interquartile range) length of time to wean the FiO2 concentration to 0.21 was 14 (5-56) minutes, 10 (5-53) minutes, and 10 (5-38) minutes in groups 1, 2, and 3, respectively. (bepress.com)

Continuous advances are being made in technologies such as diagnosis, monitoring and treatment patient-ventilator asynchrony, respiratory muscle function such as electromyography in diaphragm and lung function by ultrasound or electrical impedance. (novapublishers.com)

4. Diaphragmatic ultrasonography for predicting ventilator weaning: A meta-analysis. (nih.gov)

In the prospective-validation set we used Bayes' theorem to assess the probability of each test in predicting weaning. (nih.gov)

The other is to reduce the pressure support supplied via the ventilator. (nih.gov)
Yet the relative efficacy of these two weaning methods (tracheostomy collars and pressure support) within the LTACH setting has received little or no scrutiny. (nih.gov)
A ventilator is used to provide breathing support for ill or immature babies. (nih.gov)
This also occurs when providing positive pressure breathing support with CPAP and BiPAP machines, and when performing intubation with a ventilator. (nyu.edu)

People on a ventilator who cannot tolerate independent breathing tend to breathe rapidly (high frequency) and shallowly (low tidal volume), and will therefore have a high RSBI. (wikipedia.org)
R S B I = f V T {\displaystyle RSBI={\frac {f}{V_{T}}}} Measurement is done with a handheld spirometer attached to the endotracheal tube while a patient breathes room air for one minute without any ventilator assistance. (wikipedia.org)
A patient with a rapid shallow breathing index (RSBI) of less than 105 has an approximately 80% chance of being successfully extubated, whereas an RSBI of greater than 105 virtually guarantees weaning failure. (wikipedia.org)
This study aimed to evaluate the correlation between HGS and RSBI for weaning from MV. (hindawi.com)

For the most part, endotracheal tubes are used for people who are on ventilators for shorter periods. (nih.gov)

Early collaboration of respiratory and rehabilitation department improves ventilator weaning rates. (passy-muir.com)
Staff work one-on-one with residents to develop and reach rehabilitation goals, including ventilator management and ventilator weaning. (norcen.org)

A multiprofessional panel of experts will discuss how each clinician's role contributes to optimal ventilator management. (sccm.org)

Intermittent ventilatory assistance is possible with NIV, allowing gradual weaning and also normal eating, drinking, and communication. (bmj.com)

Continuous flow in the circuit may make it difficult for the patient to close his vocal cords and may stimulate continuous coughing and autocycling of the ventilator. (passy-muir.com)

A ventilator can be set to "breathe" a set number of times a minute. (nih.gov)
This can lead to air leaks, which can make it difficult for the ventilator to help the baby breathe. (nih.gov)
Unable to breathe on his own, Joe was placed on a ventilator and underwent numerous surgical interventions including placements of a halo vest, tracheostomy tube, and feeding tube. (rehabpub.com)

Infants who have breathing problems are often put on a ventilator. (medlineplus.gov)

Slow ventilator weaning after cervical spinal cord injury. (passy-muir.com)
Kessler is one of only 14 centers in the United States to hold federal designation as a Model System for the treatment and research of spinal cord injuries, and offers a highly specialized ventilator-dependent program. (rehabpub.com)

The Ventilator Dependent Care Community at Mount View Care Center provides that. (norcen.org)
Our ventilator dependent care community is the only ventilator therapy nursing facility of its kind in central, and northern Wisconsin. (norcen.org)
Uniquely trained, our dedicated, interdisciplinary team includes ventilator dependent care specialists, certified wound care nurses, nurse practitioners and a medical director. (norcen.org)

Caregivers can adjust the ventilator as needed, depending on the baby's condition, blood gas measurements, and x-rays. (nih.gov)

The importance of 4 fewer days on a ventilator is profound. (medscape.com)

Our highly trained staff provide personalized care and short-term, long-term, and weaning respiratory therapies using the latest onsite respiratory technologies. (norcen.org)

Any day a patient is spared from the ventilator is a benefit. (medscape.com)
it's hard to eyeball the patient to determine just how much he is doing and how much the ventilator is doing. (medscape.com)
They confirm that it's really our figuring out whether the patient is ready to come off the ventilator that can slow things down. (medscape.com)
Endotracheal intubation serves as an interface between the patient and the ventilator. (medscape.com)
It also presents a wide range of tools to help you stabilize your patient and wean them off the ventilator. (getinge.com)
In the side-stream technique gas is continuously aspirated from the primary airway through a sampling line that is placed between the patient and the Y-piece of the ventilator. (biomedcentral.com)

We help residents adjust to ventilator therapy by providing physical, occupational and speech therapy. (norcen.org)

The sample was divided on Success Group (SG) and Failure Group (FG) of the weaning process. (bvsalud.org)
There was no significant difference in weaning rates between the two techniques for the early-failure group. (nih.gov)

Automatic tube compensation supports respiratory independence during weaning process. (dremed.com)

If you need to be on a ventilator for a long time, the breathing tube will be put into your airways through a tracheostomy . (nih.gov)
If you need to be on a ventilator for a longer time, your doctor can replace the endotracheal tube with a trach tube, which is more comfortable for people who are awake. (nih.gov)

All alarms on the ventilator must be re-evaluated for appropriate adjustments before, during, and after use of the Valve. (passy-muir.com)
Since exhaled volumes are not returned to the ventilator, some alarms can be adjusted or silenced to stop unnecessary alarming. (passy-muir.com)
Ventilator function and effect of alarms during speaking valve use in a critical care setting: A bench study. (passy-muir.com)

Successful weaning for both groups was defined as the ability to sustain five days of unassisted breathing. (nih.gov)

Bronchopulmonary dysplasia (BPD) is a long-term ( chronic ) lung condition that affects newborn babies who were either put on a breathing machine (ventilator) after birth or were born very early (prematurely). (medlineplus.gov)
Early on when they require breathing assistance but before they need a mechanical ventilator. (nyu.edu)

The physicians making decisions about the weaning process were always unaware of the predictive values. (nih.gov)

Anatomy6

Diseases33

Chemicals and Drugs8

Analytical, Diagnostic and Therapeutic Techniques and Equipment66

Psychiatry and Psychology2

Phenomena and Processes21

Disciplines and Occupations1

Anthropology, Education, Sociology and Social Phenomena2

Technology, Industry, Agriculture5

Humanities1

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Named Groups2

Health Care26

Pneumonia5

Successfully weaned1

Mechanical ventilators1

Predictors3

Patients26

Ventilation15

Extubation2

Complications2

Mortality1

Readiness1

Diaphragm dysfunction1

Sedation1

Cuff deflation2

Tracheostomy collar4

Long-term acute-care hospital2

Clinical2

Patient's diaphragm activity1

Servo7

Lungs8

Outcomes1

Oxygen4

SmartCare1

Median1

Asynchrony1

Diaphragmatic1

Prospective1

Support4

RSBI4

Shorter periods1

Rehabilitation2

Optimal1

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Continuous1

Breathe3

Infants1

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Dependent3

Caregivers1

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Therapies1

Patient6

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Failure2

Compensation1

Time2

Alarms3

Successful1

Early2

Process1