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Related Experiment Videos

Approach to patients with long-term weaning failure.

D J Scheinhorn1, D C Chao, M Stearn-Hassenpflug

  • 1Barlow Respiratory Research Center and Barlow Respiratory Hospital, Los Angeles, CA 90026, USA.

Respiratory Care Clinics of North America
|July 19, 2000
PubMed
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Many intensive care unit patients require prolonged mechanical ventilation (PMV) due to incomplete recovery. This review examines outcomes for over 2700 patients treated in specialized weaning facilities.

Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Healthcare Management

Background:

  • Up to 20% of intensive care unit (ICU) patients fail to wean from mechanical ventilation, leading to prolonged mechanical ventilation (PMV).
  • Incomplete resolution of underlying conditions and economic pressures contribute to extended ICU stays.
  • Post-ICU disposition decisions are complex, balancing patient condition, facility resources, and continued weaning efforts.

Purpose of the Study:

  • To review outcomes of patients with PMV treated in post-ICU weaning settings.
  • To analyze data from over a decade of weaning beyond the ICU.
  • To describe assessment, treatment, weaning strategies, and complications in PMV patients.

Main Methods:

  • Review of data spanning ten years.

Related Experiment Videos

  • Inclusion of outcomes for over 2700 patients with PMV.
  • Analysis of patients treated in long-term acute care facilities and other post-ICU weaning venues.

    • Main Results:

    • Data from over 2700 patients with PMV were analyzed.
    • Outcomes of weaning attempts in specialized post-ICU facilities were examined.
    • Assessment, treatment, weaning strategies, and complications were described for PMV patients.

    Conclusions:

    • Specialized post-ICU facilities provide continued weaning opportunities for patients with PMV.
    • Effective management of PMV requires comprehensive assessment, tailored strategies, and vigilant complication monitoring.
    • Further research into optimizing weaning protocols in diverse post-ICU settings is warranted.