Though mechanical ventilation is a life-saving intervention, it is advisable to discontinue mechanical ventilation as soon as the underlying cause has improved and the patient is able to sustain spontaneous breathing and adequate gas exchange. This article discusses the latest update on recommendations for discontinuing mechanical ventilation.
Recently, the American College of Chest Physicians (CHEST) and the American Thoracic Society (ATS) have published a clinical practice guideline on 3 specific ventilator liberation techniques as follows: Inspiratory pressure augmentation during an initial spontaneous breathing trial (SBT) Protocols minimizing sedation Preventative non-invasive ventilation (NIV). Summary Of Recommendations Recommendation 1: For acutely hospitalized patients ventilated more than 24 hours, it is suggested that the initial SBT should be conducted with inspiratory…
