Determinants of Successful Decannulation in Difficult-to-wean Patients

Launched by HOPITAL FORCILLES · Apr 8, 2021

Keywords

ClinConnect Summary

1. Rational Mechanical ventilation following tracheal intubation is a common life-support procedure to treat patients with acute respiratory failure. However, even if the acute event is resolved, the ICU length of stay may be prolonged by prolonged mechanical ventilation. Many factors contribute to prolonging mechanical ventilation and prevent progression in weaning from the ventilator: neuromuscular blocking agents, pulmonary infections, pre-existing respiratory disease, etc. In case of prolonged invasive ventilation, following several failures of weaning and re-intubation, these patients ...

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Eligibility criteria

• Inclusion Criteria:
• • Hospitalized in weaning unit
• • Presence of a tracheostomy at admission;
• • Expected duration of mechanical ventilation \>48h at admission;
• Exclusion Criteria:
• • Known pregnancy;
• • Patient with protective measure of justice;
• • Patient under guardianship or curators;
• • Data access denial