ICU SAQs · Respiratory / ventilation
Weaning from mechanical ventilation and the failed SBT
A CICM SAQ on weaning — the readiness screen, the SBT, protocolised weaning with a daily SAT (ABC trial), the RSBI, and the causes of difficult weaning.
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Prompt
Outline the process of weaning a patient from mechanical ventilation, including the spontaneous breathing trial. A patient fails three consecutive weaning attempts — outline your assessment of the causes.
Question
Outline the process of weaning a patient from mechanical ventilation, including the spontaneous breathing trial. A patient fails three consecutive weaning attempts — outline your assessment of the causes.
References2ShowHide
- [1]Girard TD, Kress JP, Fuchs BD, et al. Efficacy and safety of a paired sedation and ventilator weaning protocol (Awakening and Breathing Controlled trial). Lancet, 2008.PMID 18191684
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.