Abstract
Mechanical ventilatory support (MV) management of critically ill patients has undergone profound changes over the past 10 years. This practice has evolved from deep-sedation associated to a totally controlled ventilation for prolonged periods of time to minimal sedation with daily interruptions and the corollary use of ventilatory modes based on spontaneous breathing. By reducing the depth and the duration of the sedation, invasive mechanical ventilation in intensive care units (ICUs) has been significantly shortened. The benefit of such strategies is now clearly demonstrated [1–3] and could be further increased by the use of automated weaning modes such as ASV, Intellivent and Smartcare. These promising automatic modes demonstrated their safety in managing ventilation and weaning even proving a reduction in weaning time especially when the patient-to-nurse ratio is high. Clear benefit for survival is still needed, and accceptance by health-care teams remains a challenge.
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Wallet, F., Ledochowski, S., Bernet, C., Mottard, N., Friggeri, A., Piriou, V. (2016). Automated Weaning Modes. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-04259-6_3
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DOI: https://doi.org/10.1007/978-3-319-04259-6_3
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