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Research ArticleConference Proceedings

Should Weaning Protocols Be Used With All Patients Who Receive Mechanical Ventilation?

Robert L Chatburn and Steven Deem
Respiratory Care May 2007, 52 (5) 609-621;
Robert L Chatburn
Section of Respiratory Therapy, Cleveland Clinic, and Department of Medicine, Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
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  • For correspondence: [email protected]
Steven Deem
Department of Anesthesiology and Medicine, Harborview Medical Center, University of Washington, Seattle, Washington.
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Abstract

Ventilator weaning protocols have the potential to expedite the weaning process and have been shown to reduce weaning time and the duration of mechanical ventilation in several studies. However, other studies have found no benefits from weaning protocols, and they may be particularly superfluous in highly staffed and structured intensive care units. Furthermore, for a protocol to improve outcomes, the clinicians must have a high rate of adherence to the protocol. Weaning protocols might improve patient care and outcomes, but their implementation should be based on local clinical characteristics and needs, and accompanied by an intensive education effort and measurement of adherence and outcomes.

  • ventilator
  • weaning
  • algorithm
  • decision support
  • weaning parameters
  • weaning predictors
  • protocol-directed weaning
  • guidelines

Footnotes

  • Correspondence: Robert L Chatburn RRT-NPS FAARC, RespiratoryTherapy, M-56, Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195. E-mail: chatbur{at}ccf.org.
  • Copyright © 2007 by Daedalus Enterprises Inc.
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Respiratory Care: 52 (5)
Respiratory Care
Vol. 52, Issue 5
1 May 2007
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Should Weaning Protocols Be Used With All Patients Who Receive Mechanical Ventilation?
Robert L Chatburn, Steven Deem
Respiratory Care May 2007, 52 (5) 609-621;

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Should Weaning Protocols Be Used With All Patients Who Receive Mechanical Ventilation?
Robert L Chatburn, Steven Deem
Respiratory Care May 2007, 52 (5) 609-621;
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Keywords

  • ventilator
  • weaning
  • algorithm
  • decision support
  • weaning parameters
  • weaning predictors
  • protocol-directed weaning
  • Guidelines

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