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Mechanical Ventilation II: Invasive Ventilation

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...

Mechanical Ventilation III: Noninvasive Ventilation

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...

Mechanical Ventilation I: Indication and Settings

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...

Ventilatory Modes

Ventilatory Modes

Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...

Endotracheal Tube Extubation

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....

Tracheostomy Decannulation

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...

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Related Experiment Video

Updated: Apr 22, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Published on: January 30, 2026

[Mechanical ventilation of weaning interruption].

Rosane Goldwasser¹, Augusto Farias², Edna Estelita Freitas³

¹Sociedade de Terapia Intensiva do Estado do Rio de Janeiro, RJ.

Revista Brasileira De Terapia Intensiva

|October 14, 2014

Summary

Weaning from mechanical ventilation is crucial. Utilizing established weaning protocols helps identify patients ready for extubation, improving outcomes in critical care.

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Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

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Area of Science:

Critical Care Medicine
Respiratory Therapy
Pulmonology

Context:

The field of mechanical ventilation has rapidly advanced since the last Brazilian Consensus in 2000.
Evidence-based medicine principles necessitate updated clinical recommendations.
Critical care patient management requires optimized ventilatory support strategies.

Purpose:

To update the 2000 Brazilian Consensus recommendations on mechanical ventilation.
To focus on the critical topic of weaning patients from mechanical ventilatory support.
To provide evidence-based guidance for selecting appropriate patients for extubation.

Summary:

A systematic literature review was conducted to evaluate studies on weaning and mechanical ventilation.
Recommendations were developed for selecting patients suitable for weaning protocols and spontaneous breathing tests.
The review emphasizes the importance of structured weaning processes in mechanical ventilatory support.

Impact:

Facilitates the adoption of evidence-based practices in weaning patients from mechanical ventilation.
Aims to improve patient outcomes by optimizing the extubation process.
Provides clinicians with updated guidelines for managing a critical phase of respiratory support.