Weaning from mechanical ventilation: An open issue

Minerva Anestesiologica

Volumn 73, Issue 7-8, 2007, Pages 417-427

  Caroleo, S ^a   Agnello, F ^b,c   Abdallah, K ^a   Santangelo, E ^b   Amantea, B ^b  

^a Policlinico Mater Domini   (Italy)

^b UNIVERSITY MAGNA GRAECIA OF CATANZARO   (Italy)

^c NONE   (Italy)

Author keywords

Artificial; Outcome; Respiration; Treatment; Weaning

Indexed keywords

ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL OXYGEN SATURATION; ARTERIAL OXYGEN TENSION; ARTIFICIAL VENTILATION; ATELECTASIS; BREATHING RATE; CEREBROVASCULAR DISEASE; CLINICAL COMPETENCE; CLINICAL EVALUATION; CLINICAL PROTOCOL; CORRELATION ANALYSIS; ENDOTRACHEAL INTUBATION; EXTUBATION; HEART ARRHYTHMIA; HEART INFARCTION; HUMAN; INTENSIVE CARE; NEUROMUSCULAR DISEASE; NON INVASIVE PROCEDURE; PATIENT MONITORING; PHYSICIAN ATTITUDE; POSITIVE END EXPIRATORY PRESSURE; PRESSURE SUPPORT VENTILATION; REHABILITATION CARE; REVIEW; SYSTOLIC BLOOD PRESSURE; TRACHEOSTOMY; TREATMENT DURATION; TREATMENT FAILURE; TREATMENT OUTCOME; VENTILATOR ASSOCIATED PNEUMONIA; WEANING;

CLINICAL PROTOCOLS; HUMANS; RESPIRATION, ARTIFICIAL; TRACHEOSTOMY; VENTILATOR WEANING;

EID: 34547921312     PISSN: 03759393     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (99)

1. Slutsky AS. Mechanical ventilation. American College of Chest Physicians' Consensus Conference. Chest 1993;104:1833-59. Erratum in: Chest 1994;106:656.
2. Esteban A, Frutos F, Tobin MJ, Alia I, Solsona JF, Vallverdù I et al. A comparison of four methods of weaning patient from mechanical ventilation. N Engl J Med 1995;332:345-50.
3. Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994;150:896-903.
4. Alia I, Esteban A. Weaning from mechanical ventilation. Crit Care Med 2000;4:72-80.
5. Esteban A, Alia I, Gordo F, Fernàndez R, Solsona JF, Vallverdù I et al. Extubation outcome after spontaneous breathing trials with T-tube or Pressure Support Ventilation. Am J Respir Crit Care Med 1998;156:459-65.
6. 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;335:1864-9.
7. Esteban A, Alia I, Tobin MJ, Gil A, Gordo F, Vallverdù I et al. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Am J Respir Crit Care Med 1999;159:512-8.
8. 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. Evidence based guidelines for weaning and discontinuing ventilatory support. Section I: Guidelines. Chest 2001;120(6 Suppl):375S-95S.
9. Vallverdu I, Calaf N, Subirana M, Net A, Benito S, Mancebo J. Clinical characteristics, respiratory functional parameters and outcome of a two hour T-piece trial of patients weaning from mechanical ventilation. Am J Respir Crit Care Med 1999;158:1855-62.
10. Epstein SK. How common is post extubation respiratory failure and unplanned extubation and what are its consequences? Proceedings of the International Consensus Conference in Intensive Care Medicine: Weaning from Mechanical Ventilation; 2005 April 28-29; Budapest, Hungary.
11. Esteban A, Frutos-Vivar F, Ferguson ND, Arabi Y, Apezteguia C, Gonzalez M et al. Noninvasive positive-pressure ventilation for respiratory failure after extubation. N Engl J Med 2004;350:2452-60.
12. Epstein SK. Endotracheal extubation. Respir Care Clin N Am 2000;6:321-60.
13. Epstein SK. Extubation. Respir Care 2002;47:483-92.
14. Epstein SK. Decision to extubate. Intensive Care Med 2002;28:535-46.
15. Rady MY, Ryan T. Perioperative predictors of extubation failure and the effect on clinical outcome after cardiac surgery. Crit Care Med 1999;27:340-7.
16. Daley BJ, Garcia-Perez F, Ross SE. Reintubation as an outcome predictor in trauma patients. Chest 1996;110:1577-80.
17. Demling RH, Read T, Lind LJ, Flanagan HL. Incidence and morbidity of extubation failure in surgical intensive care patients. Crit Care Med 1988;16:573-7.
18. Engoren M, Buderer NF, Zacharias A, Habib RH. Variables predicting reintubation after cardiac surgical procedures. Ann Thorac Surg 1999;67:661-5.
19. Miller RL, Cole RP. Association between reduced cuff leak volume and postextubation stridor. Chest 1996;110:1035-40.
20. De Bast Y, De Backer D, Moraine JJ, Lemaire M, Vandenborght C, Vincent JL. The cuff leak test to predict failure of tracheal extubation for laryngeal edema. Intensive Care Med 2002;28:1267-72.
21. Jaber S, Chanques G, Matecki S, Ramonatxo M, Vergne C, Souche B et al. Post-extubation stridor in intensive care unit patients. Risk factors evaluation and importance of the cuffleak test. Intensive Care Med 2003;29:69-74.
22. Sandhu RS, Pasquale MD, Miller K, Wasser TE. Measurement of endotracheal tube cuffleak to predict post-extubation stridor and need for reintubation. J Am Coll Surg 2000;190:682-7.
23. Smina M, Salam A, Khamiees M, Gada P, Amoateng-Adjepong Y, Manthous CA. Cough peak flows and extubation outcomes. Chest 2003;124:262-8.
24. Salam A, Tilluckdharry L, Amoateng-Adjepong Y, Manthous CA. Neurologic status, cough, secretions and extubation outcomes. Intensive Care Med 2004;30:1334-9.
25. Epstein SK, Ciubotaru RL. Independent effects of etiology of failure and time to reintubation on outcome for patient failing extubation. Am J Respir Crit Care Med 1998;158:489-93.
26. Dries DJ, McGonigal MD, Malian MS, Bor BJ, Sullivan C. Protocol-driven ventilator weaning reduces use of mechanical ventilation, rate of early reintubation, and ventilator-associated pneumonia. J Trauma 2004;56:943-51.
27. Dimick JB, Pronovost PJ, Heitmiller RF, Lipsett PA. Intensive care unit physician staffing is associated with decreased length of stay, hospital cost and complications after esophageal resections. Crit Care Med 2001;29:753-8.
28. Pronovost PJ, Jenkes MW, Dorman T, Garrett E, Breslow MJ, Rosenfeld BA et al. Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA 1999;281:1310-7.
29. Esteban A, Alia I, Ibanez J, Benito S, Tobin MJ. Modes of mechanical ventilation and weaning. A national survey of Spanish hospitals. The Spanish Lung Failure Collaborative Group. Chest 1994;106:1188-93.
30. De Jonghe B, Cook D, Sharshar T, Lefaucheur JP, Carlet J, Outin H. Acquired neuromuscular disorders in critical ill patients: a systematic review. Groupe de Reflexion et d'Etude sur les Neuromyopathies En Reanimation. Intensive Care Med 1998;24:1242-50.
31. De Jonghe B, Sharshar T, Lefaucheur JP, Authier FJ, Durand-Zaleski I, Boussarsar M et al. Paresis acquired in the intensive care unit: a prospective multicenter study. JAMA 2002;288:2859-67.
32. Leijten FS, Harinck-de-Weerd, Poortvliet DC, de-Weerd AW. The role of polyneuropathy in motor convalescence after prolonged mechanical ventilation. JAMA 1995;275:442-3.
33. Douglass JA, Tuxen DV, Horne M, Scheinkestel CD, Weinmann M, Czarny D et al. Myopathy in severe asthma. Am Rev Respir Dis 1992; 146:517-9.
34. Leijten FS, De Weerd AW, Poortvliet DC, De Ridder VA, Ulrich C, Harink-De Weerd JE. Critical illness polyneuropathy in multiple organ dysfunction syndrome and weaning from the ventilator. Intensive Care Med 1996;22:856-61.
35. Thiele RI, Jakob H, Hund E, Genzwuerker H, Herold U, Schweiger P et al. Critical illness polyneuropathy: a new iatrogenically induced syndrome after cardiac surgery? Eur J Cardiothorac Surg 1997;12:826-35.
36. Thiele RI, Jakob H, Hund E, Tantzky S, Keller S, Kamler M et al. Sepsis and catecholamine support are the major risk factors for critical illness polyneuropathy after open heart surgery. Thorac Cardiovasc Surg 2000;48:145-50.
37. Garnacho-Montero J, Madrazo-Osuna J, Garcia-Garmendia JL, Ortiz-Leyba C, Jimenez-Jimenez FJ, Barrero-Almodovar A et al. Critical illness polyneuropathy: risk factors and clinical consequences. A cohort study in septic patients. Intensive Care Med 2001;27:1288-96.
38. Druschky A, Herkert M, Radespiel-Troger M, Druschky K, Hund E, Becker CM et al. Critical illness polyneuropathy: clinical findings and cell culture assay of neurotoxicity assessed by a prospective study. Intensive Care Med 2001;27:686-93.
39. Garnacho-Montero J, Amaya-Villar R, Garcia-Garmendia JL, Madrazo-Osuna J, Ortiz-Leyba C. Effect of critical illness polyneuropathy on the withdrawal from mechanical ventilation and the length of stay in septic patients. Crit Case Med 2005;33:349-54.
40. Amaya-Villas R, Garnacho-Montero J, Garcia-Garmendia JL, Madrazo-Osuna J, Garnacho-Montero MC, Luque R et al. Steroid-induced myopathy in patients intubated due to exacerbation of chronic obstructive pulmonary disease. Intensive Care Med 2005;31:157-61.
41. De Jonghe B, Bastuji-Garin S, Sharshar T, Outin H, Brochard L. Does ICU-acquired paresis lengthen weaning from mechanical ventilation? Intensive Case Med 2004;30:1117-21.
42. De Jonge B. Critical care neuropathy and myopathy. Proceedings of the International Consensus Conference in Intensive Care Medicine: Weaning from Mechanical Ventilation; 2005 April 28-29; Budapest, Hungary.
43. Esteban A, Anzueto A, Frutos F, Alia I, Brochard L, Stewart TE et al. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 2002; 287:345-55.
44. Whelan J, Simpson SQ, Levi H. Unplanned extubation. Predictors of successful termination of mechanical ventilatory support. Chest 1994;105:1808-12.
45. Atkins PM, Mion LC, Mendelson W, Palmer RM, Slomka J, Franko T. Characteristics and outcomes of patients who self-extubate from ventilatory support: a case-control study. Chest 1997;112:1317-23.
46. Chevron V, Menard JF, Richard JC, Girault C, Leroy J, Bonmarchand G. Unplanned extubation: risk factors of development and predictive criteria for reintubation. Crit Care Med 1998;26:1049-53.
47. Epstein SK, Nevins ML, Chung J. Effect of unplanned extubation on outcome of mechanical ventilation. Am J Respir Crit Care Med 2000;161:1912-6.
48. Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000;342:1471-7.
49. Torres A, Gatell JM, Aznar E, el-Ebiary M, Puig de la Bellacasa J, Gonzalez J et al. Reintubation increases the risk of nosocomial pneumonia in patients needing mechanical ventilation. Am J Respir Crit Care Med 1995;152:137-41.
50. Epstein SK, Ciubotaru RL, Wong JB. Effect of failed extubation on the outcome of mechanical ventilation. Chest 1997;112:186-92.
51. Stroetz RW, Hubmayr RD. Tidal volume manteinance during weaning with pressure support. Am J Respir Crit Care Med 1995;152:1034-40.
52. Lellouche F, Mancebo J, Roesler J, Jolliet P, Schortgen F, Cabello M et al. Computer-driven ventilation reduces duration of weaning: a multicenter randomized controlled study. Intensive Care Med 2004;30:S234.
53. 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;153:997-1004.
54. Dojat M, Harf A, Touchard D, Lemaire F, Brochard L. Clinical evaluation of a computer-control pressure support mode. Am J Respir Crit Care Med 2000;161:1161-6.
55. Stauffer JL, Fayter NA, Graves B, Cromb M, Lynch JC, Goebel P. Survival following mechanical ventilation for acute respiratory failure in adult man. Chest 1993;104:1222-9.
56. Vasilyev S, Schaap RN, Mortensen JD. Hospital survival rates of patients with acute respiratory failure in modern respiratory Intensive Care Units. An international, multicenter, prospective survey. Chest 1995;107:1083-8.
57. Durbin CG Jr. Therapist-driven protocols in adult intensive care unit patients. Respir Case Clin N Am 1996;2:105-16.
58. Mancebo J. Weaning from mechanical ventilation. Eur Respir J 1996;9:1923-31.
59. 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;25:567-74.
60. Vitacca M, Vianello A, Colombo D, Clini E, Porta R, Bianchi L et al. Comparison of two methods for weaning patients with chronic obstructive pulmonary disease requiring mechanical ventilation for more than 15 days. Am J Respir Crit Care Med 2001:164:225-30.
61. Marelich GP, Murin S, Battistella F, Inciardi J, Vierra T, Roby M. Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses: effect on weaning time and incidence of ventilator-associated pneumonia. Chest 2000;118:459-67.
62. Santa P, Blanch L, Mestre J, Valles J, Artigas A, Fernandez R. Clinical consequences of the implementation of a weaning protocol. Intensive Care Med 1996;22:1052-6.
63. Randolph AG, Wypij D, Venkataraman ST, Hanson JH, Gedeit RG, Meert KL et al. Effect of mechanical ventilator weaning protocols on respiratory outcomes in infants and children: a randomized controlled trial. JAMA 2002;288:2561-8.
64. Krishnan JA, Moore D, Robeson C, Rand CS, Fessler HE. A prospective, controlled trial of a protocol-based strategy to discontinue mechanical ventilation. Am J Respir Crit Care Med 2004;169:673-8.
65. Tobin MJ. Weaning protocols are not necessary. Proceedings of the International Consensus Conference in Intensive Care Medicine: Weaning from Mechanical Ventilation; 2005 April 28-29; Budapest, Hungary.
66. Mancebo J. Timing and criteria for beginning weaning. In: Mancebo J, Net A, Brochard L editors. Mechanical ventilation and weaning. Berlin, Heidelberg, New York: Springer Publisher; 2001.p.239-47.
67. Alia I, Esteban A. What have we learned about weaning over the last five years? In: Vincent JL, editors. Yearbook of intensive care and emergency medicine. Berlin, Heidelberg, New York: Springer Publisher; 1998.p.505-16.
68. Hess D. Ventilator modes used in weaning. Chest 2001;120(6 Suppl):474S-6S.
69. Sassoon CSH. Intermittent mandatory ventilation. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw Hill Publisher; 1994.p.221-37.
70. Marini JJ, Smith TC, Lamb VJ. External work output and force generation during synchronized intermittent mandatory ventilation. Am Rev Respir Dis 1988;138:1169-79.
71. Imsand C, Feihl F, Perret C, Fitting JW. Regulation of inspiratory neuromuscular output during synchronized intermittent mandatory ventilation. Anesthesiology 1994;80:13-22.
72. Brochard L, Harf A, Lorino H, Lemaire F. Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis 1989;139:513-21.
73. Fiastro JF, Habib MP, Quan SF. Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure. Chest 1988;93:499-505.
74. Brochard L, Rua F, Lorino H, Lemaire F, Harf A. Inspiratory pressure support compensates for the additional work of breathing caused by the endotracheal tube. Anesthesiology 1991;75:739-45.
75. Farias JA, Retta A, Alia I, Olazarri F, Esteban A, Golubicki A et al. A comparison of two methods to perform a breathing trial before extubation in pediatric intensive care patients. Intensive Care Med 2001;27:1649-54.
76. Venus B, Jacobs HK, Lim L. Treatment of the adult respiratory distress syndrome with continuous positive airway pressure. Chest 1979;76:257-61.
77. Schlobohm RM, Falltrick RT, Quan SF, Katz JA. Lung volumes, mechanics, and oxygenation during spontaneous positive-pressure ventilation: the advantage of CPAP over EPAP. Anesthesiology 1981;55:416-22.
78. Katz JA, Marks JD. Inspiratory work with and without continuous positive airway pressure in patient with acute respiratory failure. Anesthesiology 1985;63:598-607.
79. Rossi A. Continuous positive airway pressure (CPAP). Proceedings of the International Consensus Conference in Intensive Care Medicine: Weaning from Mechanical Ventilation; 2005 April 28-29; Budapest, Hungary.
80. Tobin MJ, Alex CG. Discontinuation of mechanical ventilation. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw Hill Publisher; 1994.p. 1177-206.
81. Mancebo J. How should we interpret weaning-predictive indices. In: Mancebo J, Net A, Brochard L, editors. Mechanical ventilation and weaning. Berlin, Heidelberg, New York: Springer publisher; 2001.p.216-38.
82. 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. Evidence based guidelines for weaning and discontinuing ventilatory support. Section I: Guidelines. Chest 2001;120(6 Suppl):381.
83. Epstein SK. Etiology of extubation failure and the predictive value of the rapid shallow breathing index. Am J Respir Crit Care Med 1995;152:545-8.
84. Vitacca M, Ambrosino N, Clini E, Porta R, Rampulla C, Lanini B et al. Physiological response to pressure support ventilation delivered before and after extubation in patients not capable of totally spontaneous autonomous breathing. Am J Respir Crit Care Med 2001;164:638-41.
85. Nava S, Ambrosino N, Clini E, Prato M, Orlando G, Vitacca M et al. Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized, controlled trial. Ann Intern Med 1998;128:721-8.
86. Ferrer M, Esquinas A, Arancibia F, Bauer TT, Gonzalez G, Carrillo A et al. Noninvasive ventilation during persistent weaning failure: a randomized controlled trial. Am J Respir Crit Care Med 2003;168:70-6.
87. Esteban A, Frutos-Vivar F, Ferguson ND, Arabi Y, Apezteguia C, Gonzalez M et al. Non-invasive positive pressure ventilation for respiratory failure after extubation. N Engl J Med 2004;350:2452-60.
88. Hill NS. Does noninvasive ventilation have a role - no. Proceedings of the International Consensus Conference in Intensive Care Medicine: Weaning from Mechanical Ventilation; 2005 April 28-29; Budapest, Hungary.
89. Kollef MH, Ahrens TS, Shannon W. Clinical predictors and outcomes for patients requiring tracheostomy in the intensive care unit. Crit Care Med 1999;27:1714-20.
90. Plummer AL, Gracey DR. Consensus conference on artificial airways in patients receiving mechanical ventilation. Chest 1989;96:178-80.
91. Villafane MC, Cinnella G, Lofaso F, Isabey D, Harf A, Lemaire F et al. Gradual reduction of endotracheal tube diameter during mechanical ventilation via different humidification devices. Anesthesiology 1996;85:1341-9.
92. Fischler L, Erhart S, Kleger GR, Frutiger A. Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland. Intensive Care Med 2000;26:1428-33.
93. Bouderka MA, Fakhir B, Bouaggad A, Hmamouchi B, Hamoudi D, Harti A. Early tracheostomy versus prolonged endotracheal intubation in severe head injury. J Trauma 2004;57:251-4.
94. Rumbak MJ, Newton M, Truncale T, Schwartz SW, Adams JW, Hazard PB. A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med 2004;32:1689-94.
95. Freeman BD, Isabella K, Lin N, Buchman TG. A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients. Chest 2000;118:1412-8.
96. Francois B, Clavel M, Desachy A, Puyraud S, Roustan J, Vignon P. Complications of tracheostomy performed in the ICU: subthyroid tracheostomy vs surgical cricothyroidotomy. Chest 2003;123:151-8.
97. American Thoracic Society Official Statement. Pulmonary rehabilitation 1999. Am J Respir Crit Care Med 1999;159:1666-82.
98. Dubin C. Therapist-driven protocols in adult intensive care unit patients. In: Stoller JK, Kester L, editors. Therapist-driven protocols 1999. Philadelphia: Saunders Publisher; 1999.
99. Nava S, Confalonieri M, Rampulla C. Intermediate respiratory intensive care units in Europe: a European perspective. Thorax 1998;53:798-802.