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Terminal weaning from mechanical ventilation: a review

M E Shekleton, S M Burns, J M Clochesy

AACN Clinical Issues in Critical Care Nursing

|November 1, 1994

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Terminal weaning, the process of withdrawing mechanical ventilation, requires humane practices. Limited research necessitates further study into methods, therapies, and patient/family responses for improved clinical guidance.

Area of Science:

Critical Care Medicine
Palliative Care
Clinical Practice Guidelines

Background:

Mechanical ventilatory support withdrawal is a complex clinical decision.
Terminal weaning is indicated when continued mechanical ventilation is an unacceptable outcome.
Humane withdrawal of life support is essential for patients, families, and healthcare providers.

Purpose of the Study:

To highlight the limited research in terminal weaning.
To identify areas needing further investigation in clinical practice.

Main Methods:

Literature review on terminal weaning practices.
Analysis of current research gaps in mechanical ventilation withdrawal.

Main Results:

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Paucity of research-based clinical practice guidelines for terminal weaning.
Identification of key areas for future research.

Conclusions:

Further research is crucial to develop evidence-based practices for terminal weaning.
Future studies should focus on methods, facilitative therapy, patient/family responses, and care delivery models.