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The complexity of weaning critically ill patients from the ventilator

Defense Thèse de privat-docent : Univ. Genève, 2012
Abstract Mechanical ventilation is often life-saving but at the same time it is also hazardous. Definitive liberation from the ventilator should be realized at the earliest possible moment in a patient's clinical course, as both premature and delayed extubation may negatively affect morbidity and mortality. There is now substantial proof, that a two-step diagnostic approach is the most performing way to achieve smooth and successful weaning for these patients. The first step consists in careful evaluation of the suspected ready-to-wean patient (assessment of weaning readiness). Ascertained readiness to wean is confirmed by the second step, a stress test. A patient's tolerance to this trial usually leads to definite removal of the endotracheal tube, whereas contrarily - weaning failure - a structured and thorough diagnostic work-up regarding potentially reversible pathologies has to be carried out.
Keywords Mechanical ventilationWeaningProlonged ventilation
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PERREN, Andréas. The complexity of weaning critically ill patients from the ventilator. Université de Genève. Thèse de privat-docent, 2012. https://archive-ouverte.unige.ch/unige:37799

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Deposited on : 2014-06-13

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