Weaning from ventilation – current state of the science and art

Nursing in Critical Care

Volumn 14, Issue 4, 2009, Pages 185-190

  Crocker, Cheryl ^a  

^a NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

Author keywords

Critical care; Knowing; Mechanical ventilation; Nurse led; Protocols; Weaning

Indexed keywords

ARTIFICIAL VENTILATION; CLINICAL PROTOCOL; HUMAN; INTENSIVE CARE; METHODOLOGY; NURSING; PSYCHOLOGICAL ASPECT; REVIEW;

CLINICAL PROTOCOLS; CRITICAL CARE; HUMANS; VENTILATOR WEANING;

EID: 69849084424     PISSN: 13621017     EISSN: 14785153     Source Type: Journal    
DOI: 10.1111/j.1478-5153.2009.00334.x     Document Type: Review

References (55)

1. American College of Chest Physicians, the American Association for Respiratory Care and the American College of Critical Care Medicine (Collective Task Force). (2002). Evidence-based guidelines for weaning and discontinuing ventilatory support. Respiratory Care; 47: 69–90.
2. Bergbom-Engberg I, Haljamae H. (1989). Assessment of patient’s experience of discomforts during respirator therapy. Critical Care Medicine; 17: 1068–72.
3. Blackwood B. (2003). Can protocolised-weaning developed in the United States transfer to the United Kingdom context: a discussion. Intensive and Critical Care Nursing; 19: 215–225.
4. Blackwood B, Wilson-Barnett J, Trinder J. (2004). Protocolised weaning from mechanical ventilation: ICU physicians’ views. Journal of Advanced Nursing; 48: 26–34.
5. Boles JM, Bion J, Connors A, Herridge M, Marsh B, Melot C, Pearl R, Silverman H, Stanchina M, Viellard-Baron A, Welte T. (2007). Weaning from mechanical ventilation. European Respiratory Journal; 29: 1033–1056.
6. Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N, Gasparetto A, Lemaire F. (1994). Comparison of three methods of gradual withdrawal from mechanically ventila-tory support during weaning from mechanical ventilation. American Journal of Respiratory Critical Care Medicine; 150: 896–903.
7. Burns S, Burns J, Truit J. (1994). Comparison of five clinical weaning indices. American Journal of Critical Care; 3: 342–352.
8. Burns S, Clochesy JM, Hanneman SK. (1995). Weaning from long-term mechanical ventilation. American Journal of Critical Care; 4: 4–22.
9. Burns S, Ryan B, Burns J. (2000). The weaning continuum of APACHE II, Burns Wean Assessment Programme, TISS and weaning index score to establish stages of weaning. Critical Care Medicine; 28: 2259–2267.
10. Butler R, Keenan S, Inman K, Sibbald W, Block G. (1999). Is there a preferred technique for weaning the difficult-to-wean patient? A systematic review of the literature. Critical Care Medicine; 27: 2331–2336.
11. Cook D, Meade M, Perry A. (2001). Qualitative studies on the patient’s experiences of weaning from mechanical ventila-tion. Chest; 120: 469S–473S.
12. Crocker C. (2002). Nurse-led weaning from ventilatory and respiratory support. Intensive and Critical Care Nursing; 18: 272–279.
13. Crocker C. (2006). The Development of a Nursing Technology: Making Visible the Nursing Contribution to the Development of Critical Care. Unpublished Doctoral Thesis, The University of Nottingham, Nottingham.
14. Crocker C, Kinnear W. (2008). Weaning from ventilation: does a care bundle approach work? Intensive and Critical Care Nursing; 24: 180–187.
15. Djunaedi H, Cardinal P, Greffe-Lalibrete G, Jones G, Pham Ba, Carter Snell C. (1997). Does a ventilatory management protocol improve the care of ventilated patients? Respiratory Care; 42: 604–610.
16. Egerod I. (2003). Mechanical Ventilator Weaning in the Context of Critical Care Nursing: A Descriptive, Comparative Study of Nurse’s Decisions and Interventions Related to Mechanical Ventilation Weaning. PhD Thesis, University of Copenhagen, Copenhagen.
17. Esteban A, Frutos F, Tobin MJ, Alia I, Solsona JF, Valveruda I, Fernandez R, de la Cal MA, Benito S, Tomas R. (1995). A comparison of four methods of patients who were weaning from mechanical ventilation. Spanish Lung Failure Collabora-tive Group. The New England Journal of Medicine; 332: 345–350.
18. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly P. (1996). Effect on the duration of mechanical ventilation of identifying patient capable of breathing spontaneously. The New England Journal of Medicine; 335: 1864–1869.
19. Fairman J, Lynaugh J. (1998). Critical Care Nursing: A History. Philadelphia: University of Pennsylvania Press.
20. Fulbrook P, Delaney N, Rigby J, Snowden A, Trevett M, Turner L, Whittam A. (2004).Developing a network protocol: nurse-led weaning from ventilation. The World of Critical Care Nursing; 3: 28–37.
21. Gelsthorpe T, Crocker C. (2004). A study exploring factors which influence the decision to commence nurse-led weaning. Nursing in Critical Care; 9: 213–221.
22. Gries M, Fernsler J. (1988). Patient perceptions of the mechanical ventilator experience. Focus on Critical Care; 15: 52–59.
23. Hafsteindottir TB. (1996). Patients’ experiences of communica-tion during the respirator period. Intensive and Critical Care Nursing; 12: 261–271.
24. Henderson S. (1997). Knowing the patient and the impact on patient participation: a grounded theory study. International Journal of Nursing Practice; 3: 111–118.
25. Higgens P. (1998). Patient perception of fatigue while undergoing long term mechanical ventilation: incidence and associated factors. Heart & Lung; 27: 177–183.
26. Howie A. (1999). Rapid shallow breathing as a predictive indicator during weaning from ventilator support. Nursing in Critical Care; 4: 171–178.
27. Jablonski R. (1994). The experience of being mechanically ventilated. Qualitative Health Research; 4: 186–207.
28. Jenny J, Logan J. (1992). Knowing the patient: one aspect of clinical knowledge. Image; 24: 254–258.
29. Jenny, Logan J. (1996). Caring and comfort metaphors used by patients in critical care. Journal of Nursing Scholarship; 28: 349–352.
30. Johnson P. (2004). Reclaiming the everyday world: how long-term ventilated patients in critical care seek to gain aspects of power and control over their environment. Intensive and Critical Care Nursing; 20: 190–199.
31. Knebel A. (1991). Weaning from mechanical ventilation: current controversies. Heart & Lung; 20: 321–334.
32. Knebel A. (1996). Ventilator weaning protocols and techniques: getting the job done. AACN Clinical Issues in Critical Care; 7: 550–559.
33. Kollef HM, Shapiro SD, Silver P, St John RE, Prentice D, Sauer S, Ahrens TS, Shannon W, Baker-Clinkscale D. (1997). A randomised controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Critical Care Medicine; 25: 567–574.
34. Logan J, Jenny J. (1997). Qualitative analysis of patients’ work during mechanical ventilation and weaning. Heart & Lung; 26: 140–147.
35. Lowe F, Fulbrook P, Aldridge H, Fox S, Gillard J, O’Neill J, Papps L. (2001). Weaning from ventilation: a nurse-led protocol. Critical Care Nursing in Europe; 1: 124–133.
36. Mancebo J. (1996). Weaning from mechanical ventilation. The European Respiratory Journal; 9: 1923–1931.
37. Marelich G, Murin P, Battistella F, Inciardi J, Vierra T, Roby M. (2000). Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses. Chest; 118: 459–467.
38. Martensson I, Fridlund B. (2002). Factors influencing the patient during weaning from mechanical ventilation: a national survey. Intensive and Critical Care Nursing; 18: 219–229.
39. May C. (1992). Nursing work, nurses’ knowledge, and the subjectification of the patient. Sociology of Health and Illness; 14: 472–487.
40. Modernisation Agency (2002). Critical Care Programme: Weaning and Long Term Ventilation. NHS Modernisation Agency, London.
41. Morris PE, Dracup K. (2008). How will they learn? American Journal of Critical Care; 17: 306–309.
42. Nevins ML, Epstein SK. (2001). Weaning from prolonged mechanical ventilation. Clinical Chest Medicine; 22: 13–33.
43. Norton L. (2000). The role of the specialist nurse in patients who were weaning from mechanical ventilation and the development of a nurse-led approach. Nursing in Critical Care; 5: 220–227.
44. Price A. (2001). Nurse-led weaning from mechanical ventilation: where’s the evidence? Intensive and Critical Care Nursing; 17: 167–176.
45. Radwin L. (1995). Knowing the patient: a process model for individualised interventions. Nursing Research; 44: 364–370.
46. Radwin L. (1996). Knowing the patient: a review of research on an emerging concept. Journal of Advanced Nursing; 23: 1142–1146.
47. Rotondi AC, Mendelsohn A, Schultz R, Belle S, Im K, Donahoe M, Pinski M. (2002). Patient’s recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Critical Care Medicine; 30: 746–752.
48. Tanner C, Benner C, Chesla C, Gordon D. (1993). The phenomenology of knowing the patient. Image, Journal of Nursing Scholarship; 25: 273–280.
49. Thorens JB, Rainer M, Jolliet P, Chevriolet JC. (1995). Influence of the quality of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease. Critical Care Medicine; 23: 1807–1815.
50. Tomlinson JF, Miller KS, Lorch DG. (1989). A prospective comparison of IMV and T-piece weaning from mechanical ventilation. Chest; 96: 348–352.
51. Tonnelier J, Prat G, Le Gal G, Gut-Gobert C, Renault A, Boles J, L’Her E. (2005). Impact of a nurse’ protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for more than 48 hours: a prospective cohort study with a matched historical control group. Critical Care; 9: 83–89.
52. Webster J. (2000). Nurse-led weaning from ventilation and extubation in the paediatric cardiothoracic intensive care unit. Nursing in Critical Care; 5: 116–124.
53. Whitelaw WA, Derenne JP. (1993). Airway occlusion pressure. Journal of Applied Physiology; 74: 1475–1484.
54. Wood G, Macleod B, Moffatt S. (1995). Weaning from mechanical ventilation: physician-directed versus respiratory-therapist directed protocol. Respiratory Care; 40: 219–224.
55. Yang KL, Tobin MJ. (1991). A prospective study of indices predicting the outcome of trials of weaning from mechanical ventilation. The New England Journal of Medicine; 324: 1445–1450.