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Research ArticleOriginal Research

Clinical Relevance of Classification According to Weaning Difficulty

Alexandre Tonnelier, Jean-Marie Tonnelier, Emmanuel Nowak, Christophe Gut-Gobert, Gwenaëel Prat, Anne Renault, Jean-Michel Boles and Erwan L'Her
Respiratory Care May 2011, 56 (5) 583-590; DOI: https://doi.org/10.4187/respcare.00842
Alexandre Tonnelier
Réanimation Médicale, Pôle Urgences-Anesthésie-Réanimation, Centre Hospitalier Universitaire Brest, Brest, France.
Faculté de Médecine et des Sciences de la Santé, Université de Brest, Brest, France, and with Université Européenne de Bretagne, Rennes, France.
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Jean-Marie Tonnelier
Réanimation Médicale, Pôle Urgences-Anesthésie-Réanimation, Centre Hospitalier Universitaire Brest, Brest, France.
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Emmanuel Nowak
Centre Hospitalier Universitaire Brest, Centre d'Investigation Clinique Institut National de la Santé et de la Recherche Médicale (INSERM), Brest, France.
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Christophe Gut-Gobert
Département de Médecine Interne et Pneumologie, Pôle Vasculaire, Centre Hospitalier Universitaire Brest, Brest, France.
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Gwenaëel Prat
Réanimation Médicale, Pôle Urgences-Anesthésie-Réanimation, Centre Hospitalier Universitaire Brest, Brest, France.
MD
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Anne Renault
Réanimation Médicale, Pôle Urgences-Anesthésie-Réanimation, Centre Hospitalier Universitaire Brest, Brest, France.
MD
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Jean-Michel Boles
Réanimation Médicale, Pôle Urgences-Anesthésie-Réanimation, Centre Hospitalier Universitaire Brest, Brest, France.
Faculté de Médecine et des Sciences de la Santé, Université de Brest, Brest, France, and with Université Européenne de Bretagne, Rennes, France.
MD
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Erwan L'Her
Réanimation Médicale, Pôle Urgences-Anesthésie-Réanimation, Centre Hospitalier Universitaire Brest, Brest, France.
Faculté de Médecine et des Sciences de la Santé, Université de Brest, Brest, France, and with Université Européenne de Bretagne, Rennes, France.
Laboratoire de Traitement de l'Information Médicale (LATIM) Institut National de la Santé et de la Recherche Médicale (INSERM U650), Université de Bretagne Occidentale, Brest, France.
MD PhD
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  • For correspondence: [email protected]
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    Fig. 1.

    Mechanical ventilation weaning protocol. Daily screening identified patients eligible for weaning. A spontaneous breathing trial (SBT) was considered successful when the patient could breathe spontaneously for 90 min without clinical intolerance. With those patients the physicians were then asked to approve discontinuation of mechanical ventilation. If the SBT was not tolerated, the patient was returned to their prior ventilator settings and screened again the next day.

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    Fig. 2.

    Study flowchart.

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Respiratory Care: 56 (5)
Respiratory Care
Vol. 56, Issue 5
1 May 2011
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Clinical Relevance of Classification According to Weaning Difficulty
Alexandre Tonnelier, Jean-Marie Tonnelier, Emmanuel Nowak, Christophe Gut-Gobert, Gwenaëel Prat, Anne Renault, Jean-Michel Boles, Erwan L'Her
Respiratory Care May 2011, 56 (5) 583-590; DOI: 10.4187/respcare.00842

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Clinical Relevance of Classification According to Weaning Difficulty
Alexandre Tonnelier, Jean-Marie Tonnelier, Emmanuel Nowak, Christophe Gut-Gobert, Gwenaëel Prat, Anne Renault, Jean-Michel Boles, Erwan L'Her
Respiratory Care May 2011, 56 (5) 583-590; DOI: 10.4187/respcare.00842
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Keywords

  • mechanical ventilation
  • ICU
  • weaning
  • Classification
  • Prognosis
  • one-year mortality

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