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There is no consensus as to which mode of weaning IABP support is superior.
Physician's individual preferences determined the mode of weaning (volume assisted controlled, pressure support ventilation, or T-piece).
In the manual mode of weaning from the mechanical ventilation the pressure support was gradually decreased by the staff, the ventilatory aid was gradually diminished until extubation.
This appears to be the primum movens before considering this new ventilation mode as a potential mode of weaning from mechanical ventilation.
In the automatic group the complications were due to haemodynamic instability (five patients), one refusal to continue in the study and nine complications were related to the ventilator and the automatic mode of weaning.
As we indicated in our report, the study was based on an ICU database, and therefore details regarding the reason for intubation and mode of weaning were not available.
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With traditional modes of weaning from mechanical ventilation (pressure support), a level of pressure support is maintained to overcome the resistance in the endotracheal tube.
Currently, the two known modes of weaning IABP support are a reduction in ratio of augmented beats and a reduction of balloon inflation pressure while maintaining a support ratio of 1 1.
Maybe this was a way of weaning myself off?
In this retrospective study, we evaluated two different modes of weaning: assisted spontaneous breathing (ASB) plus CPAP with automatic tube compensation (Evita 4, Draeger Medical, Germany) versus assisted spontaneous ventilation (ASV) (Galileo Gold, Hamilton Medical, Switzerland) in 80 patients who had undergone abdominal surgery.
Future evaluations of the utility of closed loop modes for weaning children safely and more quickly from mechanical ventilation will be of interest.
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