Automatic versus manual pressure support reduction in the weaning of post-operative patients: A randomised controlled trial

Critical Care

Volumn 13, Issue 1, 2009, Pages

  Taniguchi, Corinne ^a   Eid, Raquel C ^a   Saghabi, Cilene ^a   Souza, Rogério ^b   Silva, Eliezer ^a   Knobel, Elias ^a   Paes, Ângela T ^a   Barbas, Carmen S ^a,b  

^a HOSPITAL ISRAELITA ALBERT EINSTEIN   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

OXYGEN;

ADULT; AGE DISTRIBUTION; ARTERIAL OXYGEN SATURATION; ARTICLE; AUTOMATION; BREATHING PATTERN; BREATHING RATE; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ENDOTRACHEAL INTUBATION; EXTUBATION; FEMALE; HEART SURGERY; HUMAN; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MANUAL VENTILATION; PATIENT SELECTION; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PRESSURE SUPPORT VENTILATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SEX DIFFERENCE; TIDAL VOLUME; VENTILATOR; AGED; ARTIFICIAL VENTILATION; COMPARATIVE STUDY; INSTRUMENTATION; METHODOLOGY; MIDDLE AGED; PHYSIOLOGY; POSTOPERATIVE CARE;

AGED; FEMALE; HUMANS; MALE; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; POSTOPERATIVE CARE; PROSPECTIVE STUDIES; TIDAL VOLUME; VENTILATOR WEANING;

EID: 60749116617     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc7695     Document Type: Article

References (28)

1. Eskandar N Apostolakos MJ Weaning from mechanical ventilation Crit Care Clin 2007, 23:263-274. 10.1016/j.ccc.2006.12.002 17368170
2. Esteban A Frutos F Tobin MJ Alia I Solsona JF Valverdu V Fernandez R De la Cal MA Benito S Tomas R Carriedo D Macias S Blanco J A comparison of four methods of weaning patients from mechanical ventilation N Engl J Med 1995, 332:345-350. 10.1056/NEJM199502093320601 7823995
3. Esteban A Alia I Gordo F Gordo F Fernandez R Solsona JF Vallverdú I Macias S Allegue JM Blanco J CArriedo D Léon M De la Cal MA Taboada F Velasco JG Palazón E Carrizosa F Tomás R Suarez J Goldwasser R Extubation outcome after spontaneous breathing trial with T-peace or pressure support ventilation Am J Respir Crit Care Med 1997, 156:459-465. 9279224
4. Brochard L Rauss A Benito S Conti G Mancebo J Rekik N Gasparetto A Lemaire F Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation Am J Respr Crit Care Med 1994, 150:896-903.
5. Ely EW Baker AM Dunagan DP Burke HL Smith AC Kelly PT Johnson MM Browder RW Bowton DL Haponik EF Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously N Engl J Med 1996, 335:1864-1869. 10.1056/NEJM199612193352502 8948561
6. Smyrnios NA Connolly A Wilson MM Curley FJ French CT Heard SO Irwin RS Effects of a multifaceted, multidisciplinary, hospital-wide quality improvement program on weaning from mechanical ventilation Crit Care Med 2002, 30:1224-1230. 10.1097/00003246-200206000-00009 12072672
7. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia Am J Respir Crit Care Med 2005, 171:388-416. 10.1164/rccm.200405-644ST 15699079
8. Torres A Carlet J Ventilator-associated pneumonia Eur Respir J 2001, 17:1034-1045. 10.1183/09031936.01.17510340 11488306
9. Epstein SK Ciubotaru RL Wong JB Effect of failed extubation on the outcome of mechanical ventilation Chest 1997, 112:186-192. 10.1378/ chest.112.1.186 9228375
10. Lellouche F Mancebo J Jolliet P Roeseler J Schortgen F Dojat M Cabello B Bouadma L Rodriguez P Maggiore S Reynaert M Mersmann S Brochard L A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation Am J Respir Crit Care Med 2006, 174:894-900. 10.1164/rccm.200511-1780OC 16840741
11. Kollef MH Shapiro SD Silver P St John RE Prentice D Sauer S Ahrens TS Shannon W Baker-Clinkscale D A randomized controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation Crit Care Med 1997, 25:567-574. 10.1097/ 00003246-199704000-00004 9142019
12. Ely EW Meade MO Haponik EF Kollef MH Cook DJ Guyatt GH Stoller JK Mechanical ventilator weaning protocols driven by nonphysician health-care professionals: Evidence-based clinical practice guidelines Chest 2001, 120:454S-463S. 10.1378/chest.120.6_suppl.454S 11742965
13. Barbas CSV Amato MBP Carvalho CRR Monitorização no desmame da ventilação mecânica Em Associação médica brasileira de intensivistas (AMIB), Ventilação mecânica - Volume II - Avançado 1998, 5:363-376.
14. Hess DR Liberation from mechanical ventilation: Weaning the patient or weaning old-fashioned ideas? Crit Care Med 2002, 30:2154-2155. 10.1097/ 00003246-200209000-00040 12352063
15. Laghi F Karamchandani K Tobin MJ Influence of ventilator settings in determining respiratory frequency during mechanical ventilation Am J Respir Crit Care Med 1999, 160:1766-1770. 10556154
16. Tanios MA Nevins ML Hendra KP The use of weaning parameters prolongs mechanical ventilation time Chest 2001, 120:190S-191S.
17. Tobert DG Simon PM Stroetz RW Hubmayr RD The determinants of respiratory rate during mechanical ventilation Am J Respir Crit Care Med 1997, 155:485-492. 9032183
18. Tobin MJ Perez W Guenther SM Semmes BJ Mador MJ Allen SJ Lodato RF Dantzker DR The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation Am Rev Respir Dis 1986, 134:1111-1118. 3789513
19. Bachmann PV Annat G Delafosse B Mandatory rate ventilation during the period of weaning Anesthesiology 1991, 75:A253. 10.1097/ 00000542-199109001-00253
20. Langevin B Robert D Mandatory frequency pressure support ventilation during the weaning process Am Rev Resp Crit Care Med 1994, 149:A637.
21. Chopin C Chambrin MC Les bucles d'asservissement en assistance ventilatoire Reanimation Ventilation artificielle, Principes et applications Paris: Arnnet Brochard L, Mancebo J 1994, 199-213.
22. Burns KEA Lellouche F Lessard MR Automating the weaning process with advanced closed-loop system Intensive Care Med 2008, 34:1757-1765. 10.1007/s00134-008-1154-0 18521570
23. Branson RD Techniques for automated feedback control of mechanical ventilation Semin Respir Crit Care Med 2000, 21:203-209. 10.1055/ s-2000-9847 16088732
24. Rose L Presneill JJ Johnston L Cade JF A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCaretrade mark/PS Intensive Care Med 2008, 34:1788-1795. 10.1007/ s00134-008-1179-4 18575843
25. Dojat M Harf A Touchard D Lemaire F Brochard L Clinical evaluation of a computer-controlled pressure support mode Am J Respir Crit Care Med 2000, 161:1161-1166. 10764306
26. Jouvet P Farges C Hatzakis G Monir A Lesage F Dupic L Brochard L Hubert P Weaning children from mechanical ventilation with a computer-driven system (closed-loop protocol): A pilot study Pediatr Crit Care Med 2007, 8:425-432. 10.1097/01.PCC.0000269381.43529.92 17693913
27. Stroetz RW Hubmayr RD Tidal volume maintenance during weaning with pressure support Am J Respir Crit Care Med 1995, 152:1034-1040. 7663780
28. Wysocki M Brunner JX Closed-loop ventilation: An emerging standard of care? Crit Care Clin 2007, 23:223-40. Review. 10.1016/j.ccc.2006.12.011 17368167