[Weaning and chest wall mechanics]. 1991

K Suwa
Department of Anesthesia, University of Tokyo Hospital, Japan.

I discussed following four points. 1. Weaning means an increase in energy demand. For successful weaning, stable hemodynamics and good nutrition are mandatory. 2. Success or failure is closely related with the "reserve" factors of the patients, including those discussed in 1. These "reserve" factors may be difficult to evaluate from the spirometry/pulmonary function data only. 3. A dissociative movement between chest wall and abdomen indicates that the weaning is likely to fail. The data, however, are inconclusive. 4. Few occasional patients are successfully weaned by the classical on-off method, after failing to be weaned by the standard IMV. We interpret that the classical on-off method has more elements of training. This point should be taken into consideration and this aspect of training should be pursued for weaning.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D013909 Thorax The upper part of the trunk between the NECK and the ABDOMEN. It contains the chief organs of the circulatory and respiratory systems. (From Stedman, 25th ed) Chest,Thoraces,Chests,Thorace
D015300 Ventilator Weaning Techniques for effecting the transition of the respiratory-failure patient from mechanical ventilation to spontaneous ventilation, while meeting the criteria that tidal volume be above a given threshold (greater than 5 ml/kg), respiratory frequency be below a given count (less than 30 breaths/min), and oxygen partial pressure be above a given threshold (PaO2 greater than 50mm Hg). Weaning studies focus on finding methods to monitor and predict the outcome of mechanical ventilator weaning as well as finding ventilatory support techniques which will facilitate successful weaning. Present methods include intermittent mandatory ventilation, intermittent positive pressure ventilation, and mandatory minute volume ventilation. Mechanical Ventilator Weaning,Respirator Weaning,Ventilator Weaning, Mechanical,Weaning, Mechanical Ventilator,Weaning, Respirator,Weaning, Ventilator

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