CHALLENGES WITH WEANING MANAGEMENT
The weaning process itself can be quite lengthy, often accounting for approximately 25% of the total time on the ventilator.2
IMPROVE WEANING MANAGEMENT
Protocol-driven weaning has been shown to reduce the time spent on mechanical ventilation by 26% on average compared to clinician driven, non-protocolized weaning.2
1.McLean, S. E., Jensen, L. A., Schroeder, D. G., Gibney, N. R., & Skjodt, N. M. Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program. Am J Crit Care. 2006;15(3):299-309.
2. Blackwood, B., Burns, K. E., Cardwell, C. R., & O'Halloran, P. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. Cochrane Database Syst Rev. 2014(11):CD006904.
3. Akoumianaki, E., Prinianakis, G., Kondili, E., Malliotakis, P., & Georgopoulos, D. Physiologic comparison of neurally adjusted ventilator assist, proportional assist and pressure support ventilation in critically ill patients. Respir Physiol Neurobiol. 2014;203:82-89.
4. Elganady, A. A., Beshey, B. N., & Abdelaziz, A. A. H. (Writer) (2014). Proportional assist ventilation versus pressure support ventilation in the weaning of patients with acute exacerbation of chronic obstructive pulmonary disease.
5. Kondili, E., Prinianakis, G., Alexopoulou, C., Vakouti, E., Klimathianaki, M., & Georgopoulos, D. Respiratory load compensation during mechanical ventilation--proportional assist ventilation with load-adjustable gain factors versus pressure support. Intensive Care Med. 2006;32(5):692-699.