Dtsch Med Wochenschr 2012; 137(13): 644-647
DOI: 10.1055/s-0031-1299035
Intensivmedizin | Commentary
Intensivmedizin, Pneumologie
© Georg Thieme Verlag KG Stuttgart · New York

Entwöhnung von der Beatmung (Weaning) – aktuelle Aspekte

Weaning from mechanical ventilation – new aspects
M. Pfeifer
1   Klinik Donaustauf – Zentrum für Pneumologie
2   Klinik für Pneumologie, Krankenhaus Barmherzige Brüder Regensburg
3   Bereich Pneumologie, Klinik und Poliklinik für Innere Medizin II, Universität Regensburg
,
B. Schönhofer
4   Abteilung für Pneumologie und internistische Intensivmedizin, Klinikum Oststadt – Heidehaus, Hannover
› Author Affiliations
Further Information

Publication History

Publication Date:
20 March 2012 (online)

 
  • Literatur

  • 1 Bellani G, Foti G, Spagnolli E et al. Increase of oxygen consumption during a progressive decrease of ventilatory support is lower in patients failing the trial in comparison with those who succeed. Anesthesiology 2010; 113: 378-385
  • 2 Bien MY, Lin YS, Shih CH et al. Comparisons of predictive performance of breathing pattern variability measured during t-piece, automatic tube compensation, and pressure support ventilation for weaning intensive care unit patients from mechanical ventilation. Crit Care Med 2011; 39: 2253-2262
  • 3 Blackwood B, Alderdice F, Burns KE et al. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. . Cochrane Database Syst Rev 2010; CD006904
  • 4 Braune S, Kluge S. Aktuelle Sedierungskonzepte in der Intensivmedizin. Dtsch med Wochenschr 2012; 137: 190-193
  • 5 Carpene N, Vagheggini G, Panait E et al. A proposal of a new model for long-term weaning: Respiratory intensive care unit and weaning center. Respir Med 2010; 104: 1505-1511
  • 6 Boles JM, Bion J, Connors A et al. Weaning from mechanical ventilation. Eur Respir J 2007; 29: 1033-1056
  • 7 Cabello B, Thille AW, Roche-Campo F et al. Physiological comparison of three spontaneous breathing trials in difficult-to-wean patients. Intens Care Med 2010; 36: 1171-1179
  • 8 Carlucci A, Ceriana P, Prinianakis G et al. Determinants of weaning success in patients with prolonged mechanical ventilation. Crit Care 2009; 13: R97
  • 9 Esteban A, Ferguson ND, Meade MO et al. Evolution of mechanical ventilation in response to clinical research. Am J Respir Crit Care Med 2008; 177: 170-177
  • 10 Girault C, Bubenheim M, Abroug F et al. Non-invasive ventilation and weaning in chronic hypercapnic respiratory failure patients: A randomized multicenter trial. Am J Respir Crit Care Med 2011;
  • 11 Hermans G, Agten A, Testelmans D et al. Increased duration of mechanical ventilation is associated with decreased diaphragmatic force: A prospective observational study. Crit Care 2010; 14: R127
  • 12 Heunks LM, van der Hoeven JG. Clinical review: The abc of weaning failure – a structured approach. Crit Care 2010; 14: 245
  • 13 Kim WY, Suh HJ, Hong SB et al. Diaphragm dysfunction assessed by ultrasonography: Influence on weaning from mechanical ventilation. Crit Care Med 2011; 39: 2627-2630
  • 14 Lone NI, Walsh TS. Prolonged mechanical ventilation in critically ill patients: Epidemiology, outcomes and modelling the potential cost consequences of establishing a regional weaning unit. Crit Care 2011; 15: R102
  • 15 Penuelas O, Frutos-Vivar F, Fernandez C et al. Characteristics and outcomes of ventilated patients according to time to liberation from mechanical ventilation. Am J Respir Crit Care Med 2011; 184: 430-437
  • 16 Schifelbain LM, Vieira SR, Brauner JS et al. Echocardiographic evaluation during weaning from mechanical ventilation. Clinics (Sao Paulo) 2011; 66: 107-111
  • 17 Schönhofer B. WeanNet: Strukturierte Entwöhnung vom Respirator. Dtsch Ärztebl 2011; 108: A-2768-2769
  • 18 Thille AW, Harrois A, Schortgen F et al. Outcomes of extubation failure in medical intensive care unit patients. Crit Care Med 2011; 39: 2612-2618
  • 19 Yang KL, Tobin P. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. New Engl J Med 1991; 324: 1445-1450
  • 20 Zapata L, Vera P, Roglan A et al. B-type natriuretic peptides for prediction and diagnosis of weaning failure from cardiac origin. Intens Care Med 2011; 37: 477-485