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Complications of long-term mechanical ventilation
Wissam M Chatila1, Gerard J Criner
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA 19140, USA. chatilw@tuhs.temple.edu
Respiratory Care Clinics of North America
|February 27, 2003
Summary
Complications from long-term mechanical ventilation (LTMV) significantly impede patient recovery and quality of life. Aggressively preventing and treating these issues is crucial for successful weaning and rehabilitation.
Area of Science:
- Pulmonary and Critical Care Medicine
- Respiratory Therapy
Background:
- Long-term mechanical ventilation (LTMV) is complex for ventilator-associated individuals (VAIs).
- Complications of LTMV present major obstacles to treatment goals.
Purpose of the Study:
- To highlight the impact of underlying conditions and care settings on LTMV complications.
- To emphasize the importance of managing LTMV complications for patient outcomes.
Main Methods:
- This study reviews the factors influencing LTMV complications.
- Analysis considers patient comorbidities, reasons for ventilation, and care location.
Main Results:
- Underlying diseases, comorbidities, trigger for ventilation, and site of care significantly affect LTMV complication type and severity.
- These complications are the primary barrier to achieving LTMV goals like extended life and improved quality of life.
Conclusions:
- Preventing and aggressively treating LTMV complications is essential.
- Continued efforts in weaning and rehabilitation must accompany complication management for chronically ill VAIs.