Ventilatory techniques during weaning

F. Rubini, E. Zanotti, S. Nava

Research output: Contribution to journalArticle

Abstract

Ventilatory techniques are only a part of the weaning process, that also includes medical therapy, physiokinesitherapy, nutrition, psychological support and nursing. Traditional ventilatory techniques used in weaning are: T-piece trials (alternated with assist-control ventilation (ACV)), pressure support ventilation (PSV), intermittent mandatory ventilation (IMV) and continuous positive airway pressure (CPAP) ventilation. None of these techniques has been demonstrated to be better than the others, and the physician must be prepared - to try alternate strategies according to the kind of patient. Noninvasive mechanical ventilation (NIMV) can be successfully used in weaning from invasive mechanical ventilation. Furthermore, NIMV by nasal or facial mask has been successfully used in the treatment of acute respiratory failure (ARF) due to various pathologies. In these cases, the weaning trial has an immediate beginning, since noninvasive ventilation is performed alternatively with spontaneous breathing after the early phase of ARF.

Original languageEnglish
Pages (from-to)527-529
Number of pages3
JournalMonaldi Archives for Chest Disease - Cardiac Series
Volume49
Issue number6
Publication statusPublished - 1994

Keywords

  • Continuous positive airway pressure
  • Intermittent mandatory ventilation
  • Noninvasive mechanical ventilation
  • Pressure support ventilation
  • T-piece
  • Weaning

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

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    Rubini, F., Zanotti, E., & Nava, S. (1994). Ventilatory techniques during weaning. Monaldi Archives for Chest Disease - Cardiac Series, 49(6), 527-529.