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The aim of the study was to address the weaning procedure, analyzing the hemodynamic and echocardiographic picture of patients weaned and to identify predictors of poor outcome among this population.
The weaning procedure was standardized.
Protocol-directed weaning procedure should be used in all ICUs.
All patients were under volume-assisted controlled or pressure support ventilation before entering the weaning procedure.
The decision to extubate after a successful weaning procedure was also physician directed.
Patient eligibility for the weaning procedure was identified by daily screening by nurses.
Similar(28)
The indications were: unsuccessful classical ventilation (CMV + PEEP + Plateau for at least 6 hours), or unsuccessful weaning (routine procedure for at least 7 days).
The following parameters were observed: dose, treatment duration, ventilation modes, monitoring procedures, weaning procedures and occurrence of a rebound effect.
Usual clinical parameters such as HR, RR, SBP, and FiO2 were not different between successful vs failed weaning procedures.
All ventilatory variables were collected by the same investigator, and the weaning procedures were not delayed in his absence (for example nights and weekends); those patients who did undergo weaning procedures in his absence were excluded from the study.
We originally studied eight patients, and change in medical weaning procedures were evaluated, before and after the respiratory mechanics measurements.
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