Respiratory mechanics in the patient who is weaning from the ventilator

Respiratory Care

Volumn 50, Issue 2, 2005, Pages 275-284

  MacIntyre, Neil R ^a  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Evidence based guidelines; Ventilator discontinuation; Waveform; Weaning

Indexed keywords

ACUTE RESPIRATORY FAILURE; ARTIFICIAL VENTILATION; BREATHING MUSCLE; CONFERENCE PAPER; ENDOTRACHEAL TUBE; EVIDENCE BASED MEDICINE; GAS EXCHANGE; HOSPITAL INFECTION; HUMAN; LUNG INJURY; LUNG MECHANICS; MEDICAL PRACTICE; MEDICAL RESEARCH; MUSCLE FATIGUE; PATIENT CARE; PNEUMONIA; PRACTICE GUIDELINE; RISK REDUCTION; SEDATION; VENTILATOR; BREATHING DISORDER; BREATHING MECHANICS; CONVALESCENCE; INFORMATION PROCESSING; INSTRUMENTATION; METHODOLOGY; PATHOPHYSIOLOGY; POSITIVE END EXPIRATORY PRESSURE; REVIEW; ASSISTED VENTILATION; BREATHING; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; COUGHING; ENDOTRACHEAL INTUBATION; PEAK EXPIRATORY FLOW; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY CARE;

DATA DISPLAY; EVIDENCE-BASED MEDICINE; HUMANS; POSITIVE-PRESSURE RESPIRATION; RECOVERY OF FUNCTION; RESPIRATION DISORDERS; RESPIRATORY MECHANICS; RESPIRATORY MUSCLES; VENTILATOR WEANING; VENTILATORS, MECHANICAL;

EID: 33846593444     PISSN: 00201324     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (45)

1. MacIntyre NR. Respiratory factors in weaning from mechanical ventilatory support. Respir Care 1995;40(3):244-248.
2. MacIntyre NR, Cook DJ, Ely EW Jr, Epstein SK, Fink JB, Heffner JE, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest. 2001; 120(6 Suppl):375S-395S; Respir Care 2002;47(1)69-90.
3. Truwit JD, Marini JJ. Evaluation of thoracic mechanics in the ventilated patient. Part I. Primary measurements. J Crit Care 1988;3: 133-150.
4. Truwit JD, Marini JJ. Evaluation of thoracic mechanics in the ventilated patient. Part II. Applied mechanics. J Crit Care 1988;3:192-213.
5. MacIntyre NR, Leatherman NE. Mechanical loads on the ventilatory muscles: a theoretical analysis. Am Rev Respir Dis 1989;139(4): 968-973.
6. McGregor M, Bechlake MR. The relationship of oxygen cost of breathing to respiratory mechanical work and respiratory force. J Clin Invest 1961;40(6):971-980.
7. Bellemare F, Grassino A. Effect of pressure and timing of contraction on human diaphragm fatigue. J Appl Physiol 1982;53(5):1190-1195.
8. Tobin MJ, Alex CG. Discontinuation of mechanical ventilation. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw-Hill; 1994: Chapter 52.
9. Vassilakopoulos T, Zakynthinos S, Roussos C. The tension-time index and the frequency/tidal volume ratio are the major pathophysiologic determinants of weaning failure and success. Am J Respir Crit Care Med 1998;158(2):378-385.
10. Esteban A, Frutos F, Tobin MJ, Alia I, Solsona JF, Valverdu I, et al. A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med 1995;332(6):345-350.
11. Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 1991;324(21):1445-1450.
12. Ely EW, Baker AM, Evans GW, Haponik EF. The prognostic significance of passing a daily screen of weaning parameters. Intensive Care Med 1999;25(6):581-587.
13. Esteban A, Alia I, Tobin MJ, Gil A, Gordo F, Vallverdu I, et al. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med 1999;159(2):512-518.
14. Dojat M, Harf A, Touchard D, Laforest M, Lemaire F, Brochard L. Evaluation of a knowledge-based system providing ventilatory management and decision for extubation. Am J Respir Crit Care Med 1996;153(3):997-1004.
15. Esteban A, Alia I, Gordo F, Fernandez R, Solsona JF, Vallverdu I, et al. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med 1997;156(2 Pt 1):459-465.
16. Erratum in: Am J Respir Cut Care Med 1997;156(6):2028.
17. Jones DP, Byrne P, Morgan C, Fraser I, Hyland R. Positive end-expiratory pressure vs T-piece: extubation after mechanical ventilation. Chest 1991;100(6):1655-1659.
18. Petrof BJ, Legare M, Goldberg P, Milic-Emili J, Gottfried SB. Continuous positive airway pressure reduces work of breathing and dyspnea during weaning from mechanical ventilation in severe chronic obstructive pulmonary disease. Am Rev Respir Dis 1990;141(2):281-289.
19. Cook D, Meade M, Guyatt G, Butler R, Aldawood A, Epstein S. Trials of miscellaneous interventions to wean from mechanical ventilation. Chest 2001;120(6 Suppl):438S-444S.
20. Ely EW, Bennett PA, Bowton DL, Murphy SM, Florance AM, Haponik EF. Large scale implementation of a respiratory therapist-driven protocol for ventilator weaning. Am J Respir Crit Care Med 1999;159(2):439-46.
21. Kollef MH, Shapiro SD, Silver P, St John RE, Prentice D, Sauer S, et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 1997;25(4):567-574.
22. Krishnan JA, Moore D, Robeson C, Rand CS, Fessier HE. A prospective, controlled trial of a protocol-based strategy to discontinue mechanical ventilation. Am J Respir Crit Care Med 2004;169(6):673-678.
23. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 1996; 335(5):1864-1869.
24. Capdevila XJ, Perrigault PF, Perey PJ, Roustan JP, d'Athis F. Occlusion pressure and its ratio to maximum inspiratory pressure are useful predictors for successful extubation following T-piece weaning trial. Chest 1995;108(2):482-489.
25. Hilberman M, Dietrich HP, Martz K, Osborn JJ. An analysis of potential physiological predictors of respiratory adequacy following cardiac surgery. J Thorac Cardiovasc Surg 1976;71(5):711-720.
26. Epstein SK, Ciubotaru RL. Independent effects of etiology of failure and time to reintubation on outcome for patients failing extubation. Am J Respir Crit Care Med 1998;158(2):489-493.
27. Bach JR, Saporito LR. Criteria for extubation and tracheostomy tube removal for patients with ventilatory failure: a different approach to weaning. Chest 1996;110(6):1566-1571.
28. Hebert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med 1999;340(6):409-417. Erratum in: N Engl J Med 1999:340(13):1056.
29. Lemaire F, Teboul JL, Cinotti L, Giotto G, Abrouk F, Steg G, et al. Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 1988;69(2):171-179.
30. Pinsky MR, Summer WR, Wise RA, Permutt S, Bromberger-Barnea B. Augmentation of cardiac function by elevation of intrathoracic pressure. J Appl Physiol 1983;54(4):950-955.
31. Marini JJ. Exertion during ventilator support: how much and how important? (editorial) Respir Care 1986;31(5):385-387.
32. Anzueto A, Peters JI, Tobin MJ, de los Santos R, Seidenfeld JJ, Moore G, et al. Effects of prolonged controlled mechanical ventilation on diaphragmatic function in healthy adult baboons. Crit Care Med 1997;25(7):1187-1190.
33. MacIntyre NR. Of Goldilocks and ventilatory muscle loading (editorial). Crit Care Med 2000;28(2):588-589.
34. MacIntyre NR. Weaning from mechanical ventilatory support: volume-assisting intermittent breaths versus pressure-assisting every breath. Respir Care 1988;33(2):121-125.
35. Sassoon CSH. Mechanical ventilator design and function: the trigger variable. Respir Care 1992;37(9):1056-1069.
36. MacIntyre NR, Cheng KC, McConnell R. Applied PEEP during pressure support reduces the inspiratory threshold load of intrinsic PEEP. Chest 1997;111(1):188-193.
37. Flick GR, Bellamy PE, Simmons DH. Diaphragmatic contraction during assisted mechanical ventilation. Chest 1989;96(1):130-135.
38. MacIntyre NR, McConnell R, Cheng KC, Sane A. Patient-ventilator flow dyssynchrony : flow-limited versus pressure-limited breaths. Crit Care Med 1997;25(10):1671-1677.
39. Jubran A, Van de Graaff WB, Tobin MJ. Variability of patient-ventilator interaction with pressure support ventilation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1995;152(1):129-136.
40. MacIntyre NR. Improving patient ventilator interactions. In: Vincent JL. Yearbook of Intensive Care and Emergency Medicine. Berlin: Springer; 1999:240.
41. Guttmann J, Haberthur C, Mols G. Automatic tube compensation. Respir Care Clin N Am 2001;7(3):475-501.
42. Guttmann J, Bernhard H, Mols G, Benzing A, Hofmann P, Haberthur C, et al. Respiratory comfort of automatic tube compensation and inspiratory pressure support in conscious humans. Intensive Care Med 1997;23(11):1119-1124.
43. MacIntyre NR, Ho LI. Effects of initial flow rate and breath termination criteria on pressure support ventilation. Chest 1991;99(1):134-138.
44. Younes M. Proportional assist ventilation, a new approach to ventilatory support. Theory. Am Rev Respir Dis 1992;145(1):114-120.
45. Grasso S, Ranieri VM. Proportional assist ventilation. Respir Care Clin N Am 2001;7(3):465-473.