Dealing with Difficult to Wean Patients

October 7, 2015

Discussion regarding weaning from mechanical ventilation. Suggested strategies for failure to wean. Up to 20% of patients requiring mechanical ventilation will suffer from difficult weaning the need of more than 7 days of weaning after the first spontaneous breathing trial, which may depend on several reversible causes: respiratory and/or cardiac load, neuromuscular and neuropsychological factors, and metabolic and endocrine disorders. Clinical consequences and/or often causes of prolonged mechanical ventilation comprise features such as myopathy, neuropathy, and body composition alterations and depression, which increase the costs, morbidity and mortality of this.

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UHS Hospitals

UHS is the largest comprehensive healthcare system and leading private employer in the Greater Binghamton, N.Y., region. With more than 60 locations in Broome and surrounding counties, the system is composed of providers and supporting organizations serving the 600,000 residents of the Southern Tier of upstate New York and portions of Northeast Pennsylvania...

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